Provider Demographics
NPI:1154368652
Name:LESCO, BARBARA A (DDS)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:LESCO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EAST LEE STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-6013
Mailing Address - Country:US
Mailing Address - Phone:410-727-6190
Mailing Address - Fax:410-659-0839
Practice Address - Street 1:2 EAST LEE STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-6013
Practice Address - Country:US
Practice Address - Phone:410-727-6190
Practice Address - Fax:410-659-0839
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD64221223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics