Individual
GARY LIESKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, SUITE 7416, LOS ANGELES, CA 90089-0177
(323) 865-3700
(323) 865-0120
Mailing address
1441 EASTLAKE AVE, SUITE 7416, LOS ANGELES, CA 90089-0177
(323) 865-3700
(323) 865-0120
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A35090
CA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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