Individual
LESLEY A HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7836
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704350436
MI
367500000X
Certified Registered Nurse Anesthetist
RN557254
PA
Other
Enumeration date
05/24/2011
Last updated
06/23/2022
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