Organization
JEFFREY R LESUEUR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RAYNE LESUEUR MD (PRESIDENT)
(928) 532-0072
Entity
Organization
Contact information
Practice address
5448 HIGHWAY 260, SUITE 140, LAKESIDE, AZ 85929-5739
(928) 532-0072
(928) 532-0078
Mailing address
5448 HIGHWAY 260 STE 140, LAKESIDE, AZ 85929-5750
(928) 532-0072
(928) 532-0078
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
45950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45950
AZMEDICALBOARD
AZ
05
—
543319
—
AZ
05
—
699587
—
AZ
Enumeration date
06/19/2012
Last updated
02/03/2026
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