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Holly Lorraine Leo, NP
Family Nurse Practitioner in Tustin, California
NPI 1467663666

Holly Lorraine Leo is a Family Nurse Practitioner based in Tustin, CA and is specialized in Family. Holly Lorraine Leo practices in Tustin, CA and has the professional credentials of NP. The NPI Number for Holly Lorraine Leo is 1467663666 and holds a License No. 415786 (California).

The current practice location address for Holly Lorraine Leo is 14642 Newport Ave, Tustin, CA and can be reached out via phone at 714-669-4466.

Location: 14642 Newport Ave, Tustin, CA, 92780-6057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467663666
Provider Name
Holly Lorraine Leo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
14642 Newport Ave, Tustin, CA, 92780-6057
Phone Number
714-669-4466
Fax Number
Provider Enumeration Date
05/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14642 Newport Ave
City
Tustin
State
California
Zip
92780-6057
Phone Number
714-669-4466
Fax Number
person
Provider Business Mailing Address Details
Address
14642 Newport Ave
City
Tustin
State
California
Zip
92780-6057
Phone Number
714-669-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
415786 (California)
Definition
Definition to come...
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