LORI A LEASEBURGE (NPI# 1275628455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275628455 |
| Entity Type | Individual |
| Full Name | LORI A LEASEBURGE |
| Credential | MD |
| Practice Address |
1891 Beach Blvd Suite 200 Jacksonville FL 32250-2644 |
| Practice Telephone | 9042493743 |
| Practice Fax Number | 9042492047 |
| Mailing Telephone | 9042493743 |
| Mailing Fax Number | 9042492047 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
ME93918 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273607100 | 05 |
| Street Address |
1891 BEACH BLVD SUITE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32250-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225468085 | Marsha Lachaud | Obstetrics & Gynecology | 3627 University Blvd S Ste 200, Jacksonville, FL 32216-4256 | 2013-11-14 |
| 1790991479 | Reuben Earl Brigety | Obstetrics & Gynecology | 11338 Oak Landings Dr, Jacksonville, FL 32225-1515 | 2007-05-16 |
| 1154749893 | Sasha Gourgue | Obstetrics & Gynecology | 653-1 W 8th St, Jacksonville, FL 32209-6511 | 2014-03-31 |
| 1255520532 | Neelam Verma | Obstetrics & Gynecology | 1600 W Walnut, Jacksonville, IL 62650-0000 | 2007-10-23 |
| 1255382982 | Paul Wojciech Nowicki | Obstetrics & Gynecology | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593015 | Iriabeth Joanna Ring | Obstetrics & Gynecology | 1207 Osprey Nest Cir, Groveland, FL 34736-2219 | 2019-08-18 |
| 1326415951 | Jackie Burgess | Obstetrics & Gynecology | 20230 Estero Gardens Cir, Unit 206, Estero, FL 33928-3457 | 2015-08-31 |
| 1629483722 | Sunshine Obstetric Specialists, M.d., P.a. | Obstetrics & Gynecology | 7421 Conroy Windermere Rd, Orlando, FL 32835-2758 | 2014-06-26 |
| 1558775650 | Angela Guzman | Obstetrics & Gynecology | 1116 Lucerne Terrace, Orlando, FL 32806 | 2014-06-17 |
| 1992148035 | Laura R Peter | Obstetrics & Gynecology | 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 | 2013-04-08 |
| 1336436815 | Felix Andarsio, D.o.,p.a. | Obstetrics & Gynecology | 1397 Medical Park Blvd Ste 440, Wellington, FL 33414-3188 | 2011-07-05 |
| 1093028938 | Carlos Alberto Rodriguez | Obstetrics & Gynecology | 925 Ne 30th Ter Ste 304, Homestead, FL 33033-7614 | 2010-07-21 |
| 1689994964 | Michelle Ranes | Obstetrics & Gynecology | 1401 Lucerne Ter, 2nd Floor Mp 818, Orlando, FL 32806-2014 | 2010-06-09 |
| 1336464619 | Lake County Preferred Obgyn, Inc. | Obstetrics & Gynecology | 2766 Dora Ave, Tavares, FL 32778-4970 | 2010-03-30 |
| 1134368913 | Womens Care Florida LLP | Obstetrics & Gynecology | 7560 Red Bug Road, # 1014, Oviedo, FL 32765 | 2009-02-18 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on LORI A LEASEBURGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.