Provider Demographics
NPI:1932929155
Name:LESESKY, SANDRA (RN, BSN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:LESESKY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8480 TIMBER TRL
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1773
Mailing Address - Country:US
Mailing Address - Phone:440-759-2221
Mailing Address - Fax:
Practice Address - Street 1:8480 TIMBER TRL
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1773
Practice Address - Country:US
Practice Address - Phone:440-759-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH418286163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse