| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LESLIE ELIZABETH TREVINO | 1215511928 | 2021-05-09 |
Leslie Elizabeth Trevino is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215511928. Registration indicates Leslie Elizabeth Trevino is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Lactation Consultant, ) (Registered Nurse Lactation Consultant, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Mrs. Leslie Elizabeth Trevino RN, IBCLC |
| Practice Office Address | 14011 CONNER PARK DRIVE CYPRESS, TX US |
| Practice Office Telephone | 2817032546 |
| Practice Office Fax | 8446400673 |
| Mailing Address | 14011 CONNER PARK DRIVE CYPRESS, TX 774298228 US |
| Business Telephone | 2817032546 |
| Business Fax | 8446400673 |
| Code | Practice | License No State |
|---|---|---|
| 163WL0100X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Lactation Consultant Registered Nurse Lactation Consultant Nursing Service Providers Registered Nurse | 648164
TX |
| 193400000X MULT | Group Code |