Individual
LAURA LESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 PROSPECT AVE, CPEP, SYRACUSE, NY 13203
(315) 448-6555
(315) 423-6820
Mailing address
201 PROSPECT AVE, CPEP, SYRACUSE, NY 13203
(315) 448-6555
(315) 423-6820
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2266211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02412215
—
NY
Enumeration date
05/04/2006
Last updated
01/22/2008
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