Individual
LAURA LESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1241 E DYER RD STE 145, SANTA ANA, CA 92705
(888) 306-0615
Mailing address
3884 LONG MEADOW LN, ORION, MI 48359-1444
(586) 321-9890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704300571
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704300571
MI
Other
Enumeration date
05/24/2018
Last updated
06/12/2018
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