Individual
LESETTA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
540N DUKE ST 244, LANCASTER, PA 17602-2374
(717) 826-9781
(717) 945-5177
Mailing address
540N DUKE ST 244, LANCASTER, PA 17602-2374
(717) 826-9781
(717) 945-5177
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001933875
HIGHMARK BLUE SHIELD
PA
01
—
1550135
GATEWAY
PA
01
—
50056000
CAPITAL BLUE CROSS
PA
01
—
NON HMO# 7424770
AETNA
PA
01
—
P00165180
RAILROAD MEDICARE
PA
Enumeration date
04/20/2006
Last updated
03/15/2024
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