Individual
LAUREN E LESNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 N LAKE SHORE DR STE 1210, CHICAGO, IL 60611-4490
(312) 587-3765
Mailing address
676 N LASALLE DR, APT 708, CHICAGO, IL 60654
(585) 545-5214
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
OA004637
PA
363A00000X
Physician Assistant
Primary
OA004637
PA
Other
Enumeration date
10/14/2018
Last updated
02/21/2020
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