Carson, Lesley S

Carson, Lesley S is an individual health care provider with primary practice located at 3615 Chestnut St Raiston Penn Center, Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Carson, Lesley S can be contacted via phone (215) 662-2746.

Contact Information

Primary practice address
3615 Chestnut St Raiston Penn Center Philadelphia PA 19104
Phone: (215) 662-2746
Fax: (215) 349-5648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD029586E Pennsylvania

Profile Details

NPI number 1962443390
LBN Legal business name Carson, Lesley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962443390 NPPES
Pennsylvania MEDICAID 009827850003

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