Provider Demographics
NPI:1457116733
Name:LESNOY, LILIANE (BS)
Entity Type:Individual
Prefix:
First Name:LILIANE
Middle Name:
Last Name:LESNOY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5514 ATASCOCITA RD STE 160
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3761
Mailing Address - Country:US
Mailing Address - Phone:201-417-0108
Mailing Address - Fax:
Practice Address - Street 1:5514 ATASCOCITA RD STE 160
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3761
Practice Address - Country:US
Practice Address - Phone:281-441-5371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1373457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist