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Individual

PROF. LESLEY A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
601 ELMWOOD AVE # 665, ROCHESTER, NY 14642-0001
(585) 273-3157
(585) 273-3597
Mailing address
601 ELMWOOD AVE # 665, ROCHESTER, NY 14642-0001
(585) 273-3157
(585) 273-3597

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334367-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02585468
NY
Enumeration date
07/05/2006
Last updated
10/15/2010
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