Provider Demographics
NPI:1003031238
Name:ESPOSTO-FRANKLIN, LESA (MS)
Entity Type:Individual
Prefix:
First Name:LESA
Middle Name:
Last Name:ESPOSTO-FRANKLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 AMERICANO WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-7212
Mailing Address - Country:US
Mailing Address - Phone:707-428-3029
Mailing Address - Fax:
Practice Address - Street 1:536 AMERICANO WAY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-7212
Practice Address - Country:US
Practice Address - Phone:707-428-3029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP4520235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASP0045200Medicaid