Doctor Name: | MRS. SHIRLEY EVELYN LESZCZYNSKI |
NPI Number: | 1780779231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA00040GL |
Business Practice Address: | 11 Independence Drive Spring City, PA - 19475 |
Business Phone Number: | 6109480981 |
Business Fax Number: | 6109481464 |
Mailing Address: | 504 Pughtown Road, SPRING CITY |
State: | PA |
Postal Code: | 19475 |
Phone Number: | 6109480981 |
Fax Number: | 6109481464 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA00040GL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |