Individual
NICHOLAS LELITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501
(701) 323-6000
(701) 323-5918
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0477
ND
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/30/2012
Last updated
12/28/2018
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