Healthcare Provider Details

I. General information

NPI: 1417365750
Provider Name (Legal Business Name): ADAM LESINSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 BATTLEFIELD BLVD S
CHESAPEAKE VA
23322-5311
US

IV. Provider business mailing address

309 BATTLEFIELD BLVD S
CHESAPEAKE VA
23322-5311
US

V. Phone/Fax

Practice location:
  • Phone: 757-482-4368
  • Fax:
Mailing address:
  • Phone: 757-482-4368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202213208
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: