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Individual

MARK A LESZCZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1601 FAIR RD, STATESBORO, GA 30458-1698
(877) 727-1960
(706) 854-8454
Mailing address
1159 OAKTON TRL, EVANS, GA 30809-5224
(877) 727-1960
(706) 854-8454

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN113930
GA

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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