Individual
LESLY LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0001
(570) 808-7850
(570) 808-7855
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN2323193
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN626825
PA
Other
Enumeration date
08/01/2018
Last updated
02/09/2024
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