Provider Demographics
NPI:1891726972
Name:LESIEUR, HEATHER LINNEA (PA-C, MS, MPH)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LINNEA
Last Name:LESIEUR
Suffix:
Gender:F
Credentials:PA-C, MS, MPH
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Mailing Address - Street 1:5439 CLAYTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1076
Mailing Address - Country:US
Mailing Address - Phone:925-672-6744
Mailing Address - Fax:925-672-3259
Practice Address - Street 1:5439 CLAYTON RD STE B
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1076
Practice Address - Country:US
Practice Address - Phone:925-672-6744
Practice Address - Fax:925-672-3259
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA23118363A00000X
UT376879-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000064371Medicare PIN
UTP39013Medicare UPIN