Individual
DR. DAVID RONALD LESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4385 JOHNS CREEK PKWY, STE 230, SUWANEE, GA 30024-6095
(770) 814-9455
(678) 990-5846
Mailing address
4385 JOHNS CREEK PKWY, SUITE 230, SUWANEE, GA 30024-6093
(770) 314-9455
(678) 990-5846
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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