Provider Demographics
NPI:1942540802
Name:LESSO, AMINA HASSAN
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:HASSAN
Last Name:LESSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22424 IMPERIAL VALLEY DR
Mailing Address - Street 2:300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1163
Mailing Address - Country:US
Mailing Address - Phone:832-403-8025
Mailing Address - Fax:281-645-4525
Practice Address - Street 1:22424 IMPERIAL VALLEY DR
Practice Address - Street 2:300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1163
Practice Address - Country:US
Practice Address - Phone:832-403-8025
Practice Address - Fax:281-645-4525
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health