Individual
IGOR LESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 402, SEATTLE, WA 98122-5698
(206) 241-2786
(206) 241-3349
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(800) 726-9180
(800) 861-5950
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI00000409
WA
224P00000X
Prosthetist
Primary
PS00000410
WA
225000000X
Orthotic Fitter
PS00000410
WA
Other
Enumeration date
07/19/2010
Last updated
01/10/2012
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