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Individual
RUSSELL THOMAS LESHINSKI
Active
Individual
RUSSELL THOMAS LESHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051191
PA
363AS0400X
Surgical Physician Assistant
MA051191
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232809429006
TRICARE
PA
01
—
50019935
BLUE CROSS
PA
01
—
P00194075
RAILROAD MEDICARE
PA
Enumeration date
07/16/2006
Last updated
04/04/2024
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