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Individual

DR. DAVID RONALD LESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031968
GA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
031968
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000401739A
GA
01
130023897
RAILROAD MEDICARE
GA
01
1356410948
FACILITY NPI
GA
01
158683800
DEPT OF LABOR
GA
01
163152
BLUECROSS BLUESHIELD VIP
GA
01
2533797
AETNA HMO
GA
01
4109428
AETNA PPO
GA
01
584005
CIGNA PPO
GA
Enumeration date
06/07/2006
Last updated
09/15/2009
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