MEDICARE: DR. JAMES FRANCIS LESCH DDS

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
1	122300000X	Dentist	D11577	MN

General Provider Information

NPI Number	:	1891883260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES FRANCIS LESCH DDS

Provider Business Mailing Address
First Line	:	20785 HOLYOKE AVE
Second Line	:	PO BOX 310
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-9825
Country	:	US
Telephone Number	:	952-469-5213
Fax Number	:	952-469-1385

Provider Business Practice Location Address
First Line	:	20785 HOLYOKE AVE
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-9825
Country	:	US
Telephone Number	:	952-469-5213
Fax Number	:	952-469-1385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	03/22/2017

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