Individual
LESLEY NOEL MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 N H ST, LOMPOC, CA 93436-3301
(805) 737-8700
(057) 378-7028
Mailing address
950 TALL TREES DR, NIPOMO, CA 93444-5708
(512) 922-5545
(805) 737-8702
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53909
CA
Other
Enumeration date
10/14/2016
Last updated
06/23/2020
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