Individual
DR. JAY R LESUEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1426 E BROADWAY RD, MESA, AZ 85204-2330
(480) 890-2225
(480) 890-8482
Mailing address
1426 E BROADWAY RD, MESA, AZ 85204-2330
(480) 890-2225
(480) 890-8482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4038
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182717
—
AZ
Enumeration date
10/24/2006
Last updated
07/08/2007
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