Provider Demographics
NPI:1497937692
Name:NEUSTETER, LEZLIE K
Entity Type:Individual
Prefix:MR
First Name:LEZLIE
Middle Name:K
Last Name:NEUSTETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEZLIE
Other - Middle Name:K
Other - Last Name:NEUSTETER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1716
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759
Mailing Address - Country:US
Mailing Address - Phone:562-618-5391
Mailing Address - Fax:619-400-5159
Practice Address - Street 1:8810 RIO SAN DIEGO DR
Practice Address - Street 2:STE 2200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1698
Practice Address - Country:US
Practice Address - Phone:619-400-5168
Practice Address - Fax:619-400-5159
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical