Individual
MR. HAROLD CHARLES LESAGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A
Contact information
Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 473-1190
Mailing address
12 LAURELWOOD DR, HOPEDALE, MA 01747-1958
(508) 331-0333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0206
C.R.N.A
MA
Enumeration date
07/14/2006
Last updated
07/08/2007
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