Doctor Name: | MR. TODD JOHN LEONARD LESKO |
NPI Number: | 1235537853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | SP014312 |
Business Practice Address: | 1830 Good Hope Rd Enola, PA - 170251233 |
Business Phone Number: | 7177328877 |
Business Fax Number: | 7177329241 |
Mailing Address: | 307 S Front St, 1st Floor HARRISBURG |
State: | PA |
Postal Code: | 171041621 |
Phone Number: | 7172318540 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2014 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | SP014312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |