# LESCO REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720502123
- **Authorized official:** APRIL NAFUS (CREDENTIALING)
- **Authorized official phone:** (570) 901-1957

## Contact information

- **Practice address:** 9081 FLORIN WAY, UPPER MARLBORO, MD 20772-5239
- **Practice address phone:** (301) 909-3059
- **Mailing address:** 9081 FLORIN WAY, UPPER MARLBORO, MD 20772-5239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 01/30/2020