Leso, Laura

Leso, Laura is an individual health care provider with primary practice located at 201 Prospect Ave Cpep, Syracuse NY 13203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Leso, Laura can be contacted via phone (315) 448-6555.

Contact Information

Primary practice address
201 Prospect Ave Cpep Syracuse NY 13203
Phone: (315) 448-6555
Fax: (315) 423-6820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2266211 New York

Profile Details

NPI number 1336197532
LBN Legal business name Leso, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 22nd, 2008 - about 16 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 1336197532 NPPES
New York MEDICAID 02412215

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