Individual
DR. JACQUELINE KATHLEEN LEKOSTAJ
Active
Individual
DR. JACQUELINE KATHLEEN LEKOSTAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
A137006
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036132840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132840
MEDICAL LICENSE, PERMANENT
IL
01
—
125057763
MEDICAL LICENSE, TEMPORARY
IL
01
—
A137006
MEDICAL BOARD OF CALIFORNIA
CA
01
—
MD-41874
IOWA BOARD OF MEDICINE
IA
Enumeration date
06/17/2010
Last updated
11/03/2015
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