Individual
PAUL DAVID LESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2855
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2855
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
041870
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089850
—
GA
05
—
000089851
—
GA
Enumeration date
06/30/2006
Last updated
06/03/2010
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