Individual
DR. JONATHAN SAWAYA LEKOSHERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3372 LAURENS RD, GREENVILLE, SC 29607-5236
(609) 585-1122
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(609) 585-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83474
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834743
—
SC
01
—
SCK4355214
MEDICARE PIN
SC
Enumeration date
05/13/2014
Last updated
02/02/2026
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