Individual
MS. CAROL M LESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
270 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2004
(618) 498-4166
(618) 639-7997
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
18209
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
209003178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118209
—
MO
05
—
209003178
—
IL
Enumeration date
10/01/2007
Last updated
11/13/2024
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