Provider Demographics
NPI:1548249451
Name:BROOKES, LESA (MD)
Entity type:Individual
Prefix:
First Name:LESA
Middle Name:
Last Name:BROOKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LESA
Other - Middle Name:
Other - Last Name:FRANCOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8440 W LAKE MEAD BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7648
Mailing Address - Country:US
Mailing Address - Phone:702-821-2000
Mailing Address - Fax:
Practice Address - Street 1:8440 W LAKE MEAD BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7648
Practice Address - Country:US
Practice Address - Phone:702-821-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12620208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
I17831Medicare UPIN