Lekostaj, Jacqueline Kathleen
Lekostaj, Jacqueline Kathleen is an sole proprietor health care provider with primary practice located at 2110 Rutherford Rd San03-1051, Carlsbad CA 92008-7328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is her primary health care specialty. Lekostaj, Jacqueline Kathleen can be contacted via phone (760) 516-5113.Contact Information
Primary practice address
2110 Rutherford Rd San03-1051
Carlsbad CA 92008-7328
Phone: (760) 516-5113
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology | 207ZP0007X | A137006 | California |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036132840 | Illinois |
Profile Details
NPI number | 1659692317 |
---|---|
LBN Legal business name | Lekostaj, Jacqueline Kathleen |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2010 |
Last updated | Nov 3rd, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659692317 | NPPES |
California | Other | A137006 | MEDICAL BOARD OF CALIFORNIA |
California | Other | 125057763 | MEDICAL BOARD OF CALIFORNIA |
California | Other | 036132840 | MEDICAL BOARD OF CALIFORNIA |
California | Other | MD-41874 | MEDICAL BOARD OF CALIFORNIA |
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