Provider Demographics
NPI:1982805743
Name:BOOKER, LEA M (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:LEA
Middle Name:M
Last Name:BOOKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2323 LONG REACH DR
Mailing Address - Street 2:APT. 9102
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4190
Mailing Address - Country:US
Mailing Address - Phone:281-201-2063
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-486-6713
Practice Address - Fax:713-486-6726
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126680363LA2100X
NY430220363LA2100X
PASP009953363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care