LESLIE DAWN LAINE

SAN DIEGO, CA
NPI1265019020
Former NameLESLIE LUTKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95031916)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95198633)
Enumeration Date2021-03-26
Last Update Date2024-10-14
Business Address
LESLIE DAWN LAINE NP
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
LESLIE DAWN LAINE NP
FILE 57326
LOS ANGELES, CA 90074-0001
Phone number: 858-249-6748