Doctor Name: | MRS. LESA L CAHILL |
NPI Number: | 1144376294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | |
Business Practice Address: | 620 S J St Lakeview, OR - 976301680 |
Business Phone Number: | 5419472331 |
Business Fax Number: | 5419474854 |
Mailing Address: | 620 S J St, LAKEVIEW |
State: | OR |
Postal Code: | 976301680 |
Phone Number: | 5419472331 |
Fax Number: | 5419474854 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |