Provider Demographics
NPI:1427861483
Name:LESH LIFESTYLE
Entity type:Organization
Organization Name:LESH LIFESTYLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SECOR-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-202-2324
Mailing Address - Street 1:4588 CEDRON CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-2515
Mailing Address - Country:US
Mailing Address - Phone:810-730-0228
Mailing Address - Fax:810-730-0228
Practice Address - Street 1:200 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4914
Practice Address - Country:US
Practice Address - Phone:941-202-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center