Healthcare Provider Details

I. General information

NPI: 1871406116
Provider Name (Legal Business Name): KALINA LESSEVA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 US ROUTE 1
YORK ME
03909-5934
US

IV. Provider business mailing address

PO BOX 2014
OGUNQUIT ME
03907-2014
US

V. Phone/Fax

Practice location:
  • Phone: 207-289-9799
  • Fax:
Mailing address:
  • Phone: 207-289-9799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: