Healthcare Provider Details

I. General information

NPI: 1053311290
Provider Name (Legal Business Name): FRANK A LESCOSKY D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 12/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 HEMBY LN
GREENVILLE NC
27834-3996
US

IV. Provider business mailing address

2100 HEMBY LN
GREENVILLE NC
27834-3996
US

V. Phone/Fax

Practice location:
  • Phone: 252-757-1600
  • Fax: 252-830-6244
Mailing address:
  • Phone: 252-757-1600
  • Fax: 252-830-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number186
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number186
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: