Provider Demographics
NPI:1831261577
Name:LESKO, ELAINE B (CRNP)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:B
Last Name:LESKO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18119
Mailing Address - Street 2:MOB # 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0119
Mailing Address - Country:US
Mailing Address - Phone:412-469-7932
Mailing Address - Fax:412-469-5493
Practice Address - Street 1:2 EASTGATE AVE
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062
Practice Address - Country:US
Practice Address - Phone:724-684-8999
Practice Address - Fax:724-684-7073
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP000840A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA023831Medicare PIN
PAS72881Medicare UPIN