Individual
DR. ROBERT H LESNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74090 EL PASEO, SUITE 103, PALM DESERT, CA 92260-4135
(760) 341-8244
(760) 776-1474
Mailing address
74090 EL PASEO, SUITE 103, PALM DESERT, CA 92260-4135
(760) 341-8244
(760) 776-1474
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G064878
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G064878
CA
207ND0900X
Dermatopathology Physician
G064878
CA
207NS0135X
Procedural Dermatology Physician
G064878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G064878
STATE MEDICAL LICENSE
CA
Enumeration date
06/13/2006
Last updated
01/20/2014
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