| Doctor Name: | LESA EIFFERT |
| NPI Number: | 1841230489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED |
| License Number: | RC00026848 |
| Business Practice Address: | 322 Fortuyn Rd Grand Coulee, WA - 99133 |
| Business Phone Number: | 5096331471 |
| Business Fax Number: | 5096332148 |
| Mailing Address: | P.o. Box 694, ELECTRIC CITY |
| State: | WA |
| Postal Code: | 99123 |
| Phone Number: | 5096331471 |
| Fax Number: | 5096332148 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00026848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |