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NPI Code Detail

MEDICARE: MR. ANTHONY LESCH PA-C

MEDICARE: MR. ANTHONY LESCH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant9482MN

General Provider Information

NPI Number : 1306864368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY LESCH PA-C
Provider Business Mailing Address
First Line : 1700 HIGHWAY 25 N
Second Line :
City : BUFFALO
State : MN
Zip : 55313-1930
Country : US
Telephone Number : 763-682-1313
Fax Number : 763-581-9090
Provider Business Practice Location Address
First Line : 1700 HIGHWAY 25 N
Second Line :
City : BUFFALO
State : MN
Zip : 55313-1930
Country : US
Telephone Number : 763-682-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 03/17/2022

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