Individual
MRS. ASHLEY LESNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E HOUSTON ST, SUITE 330, TYLER, TX 75702-8369
(903) 525-7995
Mailing address
PO BOX 840698, DALLAS, TX 75284-6098
(903) 525-7995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
705757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308205901
—
TX
01
—
752616977095
TRICARE
TX
01
—
886N96
BCBS
TX
01
—
P01118242
RAIL ROAD
TX
Enumeration date
10/03/2012
Last updated
10/13/2014
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