Individual
LESLEY B VONESCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 RADIO WAY, MISSOULA, MT 59808-1385
(406) 541-6900
(406) 541-6901
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
238
MT
Other
Enumeration date
10/26/2006
Last updated
08/03/2023
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