Individual
MEGAN LESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8521
(618) 288-5711
Mailing address
107 VIOLA DR, TROY, IL 62294-1718
(217) 371-0648
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209027355
IL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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