Provider Demographics
NPI:1003620691
Name:LESZCZYNSKI, TERRY C (LPN)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:C
Last Name:LESZCZYNSKI
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 ROBIN NEST CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7710
Mailing Address - Country:US
Mailing Address - Phone:702-556-0497
Mailing Address - Fax:
Practice Address - Street 1:3333 ROBIN NEST CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7710
Practice Address - Country:US
Practice Address - Phone:702-556-0497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV880626164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse