Individual
NICHOLAS MARTIN LESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10050 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 432-6459
Mailing address
10050 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 432-6459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002394A
IN
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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