Provider Demographics
NPI:1154803559
Name:LESIGHA, CELESTINE LEBYIT (RN)
Entity type:Individual
Prefix:MR
First Name:CELESTINE
Middle Name:LEBYIT
Last Name:LESIGHA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5259 W COVE WAY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8534
Mailing Address - Country:US
Mailing Address - Phone:214-861-6452
Mailing Address - Fax:214-628-6890
Practice Address - Street 1:5259 W COVE WAY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8534
Practice Address - Country:US
Practice Address - Phone:214-861-6452
Practice Address - Fax:214-628-6890
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324549164X00000X
TX945825163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse