NPI | 1184635450 |
---|---|
Former Name | LAURA A LESCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110001703) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001703) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2021-08-27 |