Individual
KURT RANDALL LESEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
5700 US HIGHWAY 26, DUBOIS, WY 82513-9753
(307) 851-4771
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/30/2025
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