Provider Demographics
NPI:1104027135
Name:LESSLIE, DONALD PATRICK
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:PATRICK
Last Name:LESSLIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 PINE ST STE 501
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2452
Mailing Address - Country:US
Mailing Address - Phone:325-670-4333
Mailing Address - Fax:833-437-1261
Practice Address - Street 1:1924 PINE ST STE 501
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2452
Practice Address - Country:US
Practice Address - Phone:325-670-4333
Practice Address - Fax:833-437-1261
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0140802086X0206X
TXL70082086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology