Lesky, Daniel Nathan

Lesky, Daniel Nathan is an individual health care provider with primary practice located at 167 N Main St , Tuba City AZ 86045-0600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lesky, Daniel Nathan can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 N Main St Tuba City AZ 86045-0600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD194483 Oregon

Profile Details

NPI number 1851745160
LBN Legal business name Lesky, Daniel Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2016
Last updated Sep 22nd, 2020 - about 4 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 1851745160 NPPES
Arizona MEDICAID 006383
Arizona Other TEZAU31

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