Individual provider · Type 1 NPI

Lysandra Jenel Lebaron

Student in an Organized Health Care Education/Training Program · San Tan Valley, AZ

NPI number 1316809064 Active

Practice location

2163 W Emrie Ave
San Tan Valley, AZ 85144-1414

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316809064

Lysandra Jenel Lebaron's National Provider Identifier is 1316809064, issued on Dec 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Dec 2, 2025.