Individual
BRIAN MITCHELL LESTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1910 BOB BULLOCK LOOP, LAREDO, TX 78043-9733
(956) 718-3236
Mailing address
1910 BOB BULLOCK LOOP, LAREDO, TX 78043-9733
(956) 718-3236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54941
TX
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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