Organization Active NPI

Leesang Services LLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1801604707
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEESANG SERVICES LLC
Practice address
1317 Edgewater Dr # 2761
Orlando, FL 32804-6350
Phone
(561) 598-9609
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lasandra Lee, APRN, FNP-CNPI 1992447452
Title
Owner
Phone
(561) 598-9609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Medical Specialty Clinic/Center 261QM2500X NU

Addresses

Primary practice location

1317 Edgewater Dr # 2761
Orlando, FL 32804-6350

Mailing address

1317 Edgewater Dr # 2761
Orlando, FL 32804-6350
Phone (561) 598-9609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228000364 FL Part B Supplier - Clinic/Group Practice 4981124328 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL; Lake Mary, FL

National Provider Directory

National Provider Directory

Locations

115 Timberlachen Cir
Ste 2009
Lake Mary, FL 32746
Phone (561) 598-9609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1801604707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 2761",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "561-598-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 2761",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "561-598-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESANG SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LASANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-598-9609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.