Provider Demographics
NPI:1548428923
Name:LESESKY, ERIN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:B
Last Name:LESESKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 MCFARLAND RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6865
Mailing Address - Country:US
Mailing Address - Phone:919-401-0360
Mailing Address - Fax:919-401-0378
Practice Address - Street 1:5324 MCFARLAND RD
Practice Address - Street 2:SUITE 210
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6865
Practice Address - Country:US
Practice Address - Phone:919-401-0360
Practice Address - Fax:919-401-0378
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00348174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist