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Individual

JONATHAN LESAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
110 E 13TH ST, RUSHVILLE, IN 46173-2126
(765) 932-7063
(765) 932-7065
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-4111
(765) 932-7505

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001278A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/15/2015
Last updated
02/17/2025
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