LEEZA FORTNER
NPI 1013514702
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Leeza Fortner's NPI number?

The NPI number for Leeza Fortner is 1013514702. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Leeza Fortner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Leeza Fortner was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2020

259 MACK AVE STE 4514, DETROIT, MI 48201(313) 577-4723 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Leeza Fortner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEEZA FORTNER (NPI 1013514702) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1013514702

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLEEZA FORTNER

Location Address259 MACK AVE STE 4514Detroit, MI 48201-2427

Mailing Address33708 Lipke StClinton Township, MI 48035-3618 · (586) 846-1282

Phone(313) 577-4723

Sole ProprietorNo

Enumeration DateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1013514702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

259 MACK AVE STE 4514, Detroit, MI 48201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leeza Fortner's NPI number?

The NPI number for Leeza Fortner is 1013514702. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Leeza Fortner located?

Leeza Fortner practices at 259 Mack Ave Ste 4514, Detroit, MI 48201. The listed phone number is (313) 577-4723.

What is Leeza Fortner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Leeza Fortner was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.