| Doctor Name: | DR. BEN LESCZYNSKI |
| NPI Number: | 1043386618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | |
| Business Practice Address: | 280 1st St 49 Mdg/ Sgow Holloman Afb Holloman Air Force Base, NM - 883308273 |
| Business Phone Number: | 5755721968 |
| Business Fax Number: | 5755722259 |
| Mailing Address: | 200 1st St,, 49 Mdg/ Sgow Holloman Afb HOLLOMAN |
| State: | NM |
| Postal Code: | 88330 |
| Phone Number: | 5755721968 |
| Fax Number: | 5755722259 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |