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Individual

MRS. SUSAN MARIE LESKANIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
138 W. CRYSTAL LAKE AVE. STE #1100, LAKE MARY, FL 32746
(407) 915-6570
(407) 915-6572
Mailing address
138 W. CRYSTAL LAKE AVE. STE #1100, LAKE MARY, FL 32746
(407) 915-6570
(407) 915-6572

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9227765
FL

Other

Enumeration date
08/21/2012
Last updated
04/09/2020
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