Provider Demographics
NPI:1811308992
Name:LESKO, ANGELITA
Entity type:Individual
Prefix:
First Name:ANGELITA
Middle Name:
Last Name:LESKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4639 FIELDS WAY
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-4419
Mailing Address - Country:US
Mailing Address - Phone:440-242-7910
Mailing Address - Fax:440-830-2093
Practice Address - Street 1:4639 FIELDS WAY
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4419
Practice Address - Country:US
Practice Address - Phone:440-242-7910
Practice Address - Fax:440-830-2093
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide