Provider Demographics
NPI:1437462694
Name:LESPERANCE, ISABEL (HIS)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:LESPERANCE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9384 VALLEY VIEW DR NW
Mailing Address - Street 2:STE 400
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4403
Mailing Address - Country:US
Mailing Address - Phone:505-890-7600
Mailing Address - Fax:505-890-7700
Practice Address - Street 1:9384 VALLEY VIEW DR NW
Practice Address - Street 2:STE 400
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4403
Practice Address - Country:US
Practice Address - Phone:505-890-7600
Practice Address - Fax:505-890-7700
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0717237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist