Provider Demographics
NPI:1184321663
Name:ARROYO, LESLEY CRISTAL
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:CRISTAL
Last Name:ARROYO
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 1:5406 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-3336
Mailing Address - Country:US
Mailing Address - Phone:708-830-4832
Mailing Address - Fax:
Practice Address - Street 1:5406 W 26TH ST
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-3336
Practice Address - Country:US
Practice Address - Phone:708-830-4832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator