Provider Demographics
NPI:1467855676
Name:LENHARD, LESLIE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:LENHARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 WONDER WORLD DR STE 209
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7541
Mailing Address - Country:US
Mailing Address - Phone:512-353-6400
Mailing Address - Fax:512-353-3039
Practice Address - Street 1:1305 WONDER WORLD DR STE 209
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7541
Practice Address - Country:US
Practice Address - Phone:512-353-6400
Practice Address - Fax:512-353-3039
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126589363L00000X, 363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348747201Medicaid
409494YMG2OtherMEDICARE
P01481746OtherRR MEDICARE