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Individual

ERIC LESCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1612 DAWKINS RD, LA GRANGE, KY 40031-8729
(502) 222-7161
Mailing address
4185 BLENHEIM RD, LOUISVILLE, KY 40207-3906
(502) 931-5007

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.144501
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000
LICENSURE BOARD
OH
Enumeration date
04/06/2017
Last updated
07/03/2023
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