Individual
PHILIP LESZCZEWICZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KCSA
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 781-4828
(270) 781-4828
Mailing address
1945 SCOTTSVILLE RD, B2 PMB 397, BOWLING GREEN, KY 42104-3376
(270) 781-4828
(270) 781-4828
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA271
KY
Other
Enumeration date
06/30/2014
Last updated
08/21/2014
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