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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE EDMONDS

Active Sole Proprietor

LESLIE EDMONDS is a Early Intervention Provider Agency healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1063219509 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1063219509
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2025 (1.2684397966809 yrs)
Last Updated
Mar 3, 2025
License
113370 (NV)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 8714
SOUTH LAKE TAHOE, CA, 961581714
Browse CA providers · Browse ZIP 96158
Phone
7077580480
Primary Specialty
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.