Individual
JACQUELINE ANN LESNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0287
(907) 543-6300
Mailing address
PO BOX 1511, BETHEL, AK 99559-1511
(907) 534-6336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
238
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD5829
—
AK
Enumeration date
05/04/2007
Last updated
12/04/2012
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