Provider Demographics
NPI:1073034930
Name:JOSEPH L. LESCANO
Entity Type:Organization
Organization Name:JOSEPH L. LESCANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUMICO
Authorized Official - Middle Name:ROMERO
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-233-0240
Mailing Address - Street 1:PO BOX 505232
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-4316
Mailing Address - Country:US
Mailing Address - Phone:670-233-0240
Mailing Address - Fax:670-233-0241
Practice Address - Street 1:UNIT 102 MANGO CITY BLDG. MIDDLE RD. GARAPAN, SAIPAN
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-233-0240
Practice Address - Fax:670-233-0241
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PACIFIC SLEEP CARE AND WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-30
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic