Organization
LEANONME GROUP LLC
Active
Other names
Leanonme Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ABARA DIBAKI (MANAGER)
(972) 299-0145
Entity
Organization
Contact information
Practice address
5002 CHARISMA DR, MIDLOTHIAN, TX 76065-8843
(972) 299-0145
Mailing address
5002 CHARISMA DR, MIDLOTHIAN, TX 76065-8843
(972) 299-0145
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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