Individual
LESLEY MICHELE FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 MERCY CIR, CAMP PENDLETON, CA 92055
(760) 719-4035
Mailing address
200 MERCY CIRCLE, CAMP CAMP PENDLETON, CA 92055
(760) 715-4035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
787140
CA
171000000X
Military Health Care Provider
Primary
NP95017360
CA
363LF0000X
Family Nurse Practitioner
NP95017360
CA
Other
Enumeration date
06/01/2020
Last updated
08/28/2025
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