Provider Demographics
NPI:1518361161
Name:LEKAJ, BELINA (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:BELINA
Middle Name:
Last Name:LEKAJ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57729 ABRAHAM DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-2956
Mailing Address - Country:US
Mailing Address - Phone:586-232-3601
Mailing Address - Fax:
Practice Address - Street 1:57729 ABRAHAM DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-2956
Practice Address - Country:US
Practice Address - Phone:586-232-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704249482367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered