Individual
MS. LESETTE D WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19401 S VERMONT AVE, BLDG L-100, TORRANCE, CA 90502-1029
(310) 324-5777
(310) 324-6245
Mailing address
401 W 220TH ST UNIT 43, CARSON, CA 90745-2865
(310) 324-5777
(310) 324-6245
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11614
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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