Provider Demographics
NPI:1295456614
Name:HARDT, LEE R (CRT, RRT, RCP)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:R
Last Name:HARDT
Suffix:
Gender:M
Credentials:CRT, RRT, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 DEAN LESHER DR STE D
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-1368
Mailing Address - Country:US
Mailing Address - Phone:408-744-2411
Mailing Address - Fax:
Practice Address - Street 1:2510 DEAN LESHER DR STE D
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1368
Practice Address - Country:US
Practice Address - Phone:925-827-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45065227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty