Lesoski, Darryl F

Lesoski, Darryl F is an individual health care provider with primary practice located at 550 Munson Ave , Traverse City MI 49686-3580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Lesoski, Darryl F can be contacted via phone (231) 935-8590.

Contact Information

Primary practice address
550 Munson Ave Traverse City MI 49686-3580
Fax: (231) 935-8597
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 4301067262 Michigan

Profile Details

NPI number 1134293160
LBN Legal business name Lesoski, Darryl F
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1134293160 NPPES
Michigan Other DL067262 BLUE CROSS

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