Individual
MACY LEHOTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
INDIAN RTE 7 & INDIAN RTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8525
Mailing address
1602 AIDA CT, GALLUP, NM 87301-4976
(850) 716-9323
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN9406315
FL
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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