Healthcare Provider Details

I. General information

NPI: 1396807210
Provider Name (Legal Business Name): BARBARA A. LESCO, D.D.S., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 E LEE ST
BALTIMORE MD
21202-6002
US

IV. Provider business mailing address

2 E LEE ST
BALTIMORE MD
21202-6002
US

V. Phone/Fax

Practice location:
  • Phone: 410-727-6190
  • Fax:
Mailing address:
  • Phone: 410-727-6190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number6422
License Number StateMD

VIII. Authorized Official

Name: MRS. JOY LEE KAHL
Title or Position: OFFICE MANAGER
Credential:
Phone: 410-727-6190