Individual
ANITA A. LESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3256592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009978790
—
AL
05
—
305560400
—
FL
01
—
430050736
RAILROAD MEDICARE
FL
01
—
59116532
BLUECROSS & BLUESHIELD
AL
01
—
G2339
BLUECROSS & BLUESHIELD
FL
Enumeration date
08/15/2005
Last updated
11/11/2011
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