Individual
MS. LESA MARIE REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, STE 210, PEORIA, AZ 85381
(623) 876-3830
(623) 876-3934
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
RN097080
AZ
363LF0000X
Family Nurse Practitioner
Primary
RN097080
AZ
Other
Enumeration date
05/17/2006
Last updated
11/28/2007
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