Individual
MICHAEL LESAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 W JEFFERSON ST, PHOENIX, AZ 85007-3002
(520) 868-4011
Mailing address
8302 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6629
(520) 262-4011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15313
AZ
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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