Individual
CORY LESHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
68 SPRING ST, LOCK HAVEN, PA 17745-1911
(570) 263-5840
(570) 893-6325
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064356
PA
363AM0700X
Medical Physician Assistant
008100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00655103
RAILROAD MEDICARE
NY
Enumeration date
07/06/2006
Last updated
03/29/2023
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