Provider Demographics
NPI:1073604054
Name:MACARTHUR, LESLEY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:ANNE
Last Name:MACARTHUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LESLEY
Other - Middle Name:ANNE
Other - Last Name:CAPOBIANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1001 DOVE ST
Mailing Address - Street 2:SUITE 275
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2838
Mailing Address - Country:US
Mailing Address - Phone:949-752-2204
Mailing Address - Fax:
Practice Address - Street 1:1001 DOVE ST
Practice Address - Street 2:SUITE 275
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2838
Practice Address - Country:US
Practice Address - Phone:949-752-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0674012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry