| NPI | 1518386283 |
|---|---|
| Former Name | MARY ANN ROSEVEAR LESCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101276442) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 67341) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-12-14 |