Provider Demographics
NPI:1316349947
Name:AUNGST, LESIA (CRNP)
Entity type:Individual
Prefix:
First Name:LESIA
Middle Name:
Last Name:AUNGST
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-9173
Mailing Address - Country:US
Mailing Address - Phone:717-484-0727
Mailing Address - Fax:
Practice Address - Street 1:1535 HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7681
Practice Address - Country:US
Practice Address - Phone:717-627-4088
Practice Address - Fax:717-627-4089
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily