Provider Demographics
NPI:1083183412
Name:WESTER, LEA (ND)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:
Last Name:WESTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 CHINQUAPIN AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-3536
Mailing Address - Country:US
Mailing Address - Phone:858-405-0862
Mailing Address - Fax:
Practice Address - Street 1:1050 CHINQUAPIN AVE APT 11
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-3536
Practice Address - Country:US
Practice Address - Phone:858-405-0862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1033175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath