Provider Demographics
NPI:1912143637
Name:MCGEE, LESLIE (RN, LAC)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 N ALVERNON WAY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3350
Mailing Address - Country:US
Mailing Address - Phone:520-318-4964
Mailing Address - Fax:
Practice Address - Street 1:1643 N ALVERNON WAY
Practice Address - Street 2:SUITE 107
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3350
Practice Address - Country:US
Practice Address - Phone:520-318-4964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
613605800OtherDEPT OF LABOR FECA PROVIDER NUMBER