Individual
DR. CHESKA LEE BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
921 39TH AVE NE, SAINT PETERSBURG, FL 33703-5924
(512) 731-9344
Mailing address
921 39TH AVE NE, SAINT PETERSBURG, FL 33703-5924
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
48025
FL
Other
Enumeration date
08/23/2017
Last updated
06/16/2018
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