Individual
DR. GAIL BRONWYN LESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
21 MANSION BLVD, ALTOONA, PA 16602-3227
(508) 280-5888
Mailing address
21 MANSION BLVD, ALTOONA, PA 16602-3227
(814) 944-3536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
11/01/2022
Last updated
11/01/2022
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