Individual
MS. LESA JEANENE GROVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
CHOC CHILDREN'S HOSPITAL OF ORANGE, 1201 W. LE VETA AVENUE, ORANGE, CA 92868
(714) 509-9331
(402) 955-7405
Mailing address
CHOC CHILDREN'S HOSPITAL OF ORANGE, 1201 W. LE VETA AVENUE, ORANGE, CA 92868
(714) 509-9331
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
110266
NE
363LP0200X
Pediatric Nurse Practitioner
Primary
95010725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578179
—
IA
01
—
218343
COVENTRY
—
01
—
37925
BCBS
NE
Enumeration date
11/17/2006
Last updated
03/07/2019
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