Provider Demographics
NPI:1144190596
Name:PASKOWSKI, LEAH BETH (LPN)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:BETH
Last Name:PASKOWSKI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 N LOS FELIZ DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2244
Mailing Address - Country:US
Mailing Address - Phone:877-205-5541
Mailing Address - Fax:818-538-3380
Practice Address - Street 1:724 N LOS FELIZ DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2244
Practice Address - Country:US
Practice Address - Phone:877-205-5541
Practice Address - Fax:818-538-3380
Is Sole Proprietor?:No
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP049021164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse