Individual
MS. LESANN L DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
661 E ALTAMONTE DR, SUITE 318, ALTAMONTE SPRINGS, FL 32701-5105
(407) 303-5204
(407) 303-5205
Mailing address
661 E ALTAMONTE DR, SUITE 318, ALTAMONTE SPRINGS, FL 32701-5105
(407) 303-5204
(407) 303-5205
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ARNP3419072
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP3419072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340121900
—
FL
Enumeration date
08/12/2005
Last updated
05/03/2012
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