| NPI | 1013612910 |
|---|---|
| Other Name | JACK LESCHISIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0078015) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-09-20 |