Provider Demographics
NPI:1942240932
Name:LESCH, DAVID RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RONALD
Last Name:LESCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4385 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6093
Mailing Address - Country:US
Mailing Address - Phone:770-314-9455
Mailing Address - Fax:678-990-5846
Practice Address - Street 1:4385 JOHNS CREEK PKWY
Practice Address - Street 2:STE 230
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6095
Practice Address - Country:US
Practice Address - Phone:770-814-9455
Practice Address - Fax:678-990-5846
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0319682084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA158683800OtherDEPT OF LABOR
GA2533797OtherAETNA HMO
GA584005OtherCIGNA PPO
GA000401739AMedicaid
GA1356410948OtherFACILITY NPI
GA163152OtherBLUECROSS BLUESHIELD VIP
GA130023897OtherRAILROAD MEDICARE
GA4109428OtherAETNA PPO
GA4109428OtherAETNA PPO
GA130023897OtherRAILROAD MEDICARE
GA158683800OtherDEPT OF LABOR