Individual
DR. MACKENZIE BLAKE LESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Mailing address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(636) 577-4428
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018021475
MO
Other
Enumeration date
07/01/2018
Last updated
06/20/2023
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