Individual
LAURENCE FRANK LESIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 N DIERS AVE, STE 200, GRAND ISLAND, NE 68803-4984
(308) 384-5400
(308) 384-5201
Mailing address
620 N DIERS AVE, STE 200, GRAND ISLAND, NE 68803-4984
(308) 384-5400
(308) 384-5201
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15386
NE
207X00000X
Orthopaedic Surgery Physician
R4B91
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3959
BC/BS
NE
05
—
47054564512
—
NE
Enumeration date
05/28/2005
Last updated
10/02/2007
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