Individual
DYLAN LESISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
619 DALTON ST, EMMAUS, PA 18049-3031
(610) 628-9882
Mailing address
1730 SHIMER AVE APT 7, BETHLEHEM, PA 18018-4646
(570) 778-0421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPPA043085
PA
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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