Healthcare Provider Details

I. General information

NPI: 1396814315
Provider Name (Legal Business Name): JOHN MICHAEL LESKO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17336 PICKWICK DR STE C
PURCELLVILLE VA
20132-6180
US

IV. Provider business mailing address

190 CAMPUS BLVD STE 300
WINCHESTER VA
22601-2872
US

V. Phone/Fax

Practice location:
  • Phone: 540-441-4990
  • Fax: 540-441-0301
Mailing address:
  • Phone: 540-667-1244
  • Fax: 540-662-1187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101240381
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: