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Organization

DAVID R. LESCH, M.D., LLC

Active
Other names
GEORGIA NEUROLOGY AND SLEEP MEDICINE ASSOC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID R. LESCH M.D. (PHYSICIAN/OWNER)
(770) 814-9455
Entity
Organization

Contact information

Practice address
4385 JOHNS CREEK PARKWAY, SUITE 230, SUWANEE, GA 30024-6095
(770) 814-9455
(678) 990-5846
Mailing address
4385 JOHNS CREEK PARKWAY, SUITE 230, SUWANEE, GA 30024-6095
(770) 814-9455
(678) 990-5846

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031968
GA
174400000X
Specialist
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10055949
AMERIGROUP ID
GA
05
914888852A
GA
Enumeration date
11/07/2006
Last updated
12/06/2011
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