Provider Demographics
NPI:1871998658
Name:LESKO, RENEE (LMT)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:LESKO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8176 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MCDONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057
Mailing Address - Country:US
Mailing Address - Phone:412-877-3588
Mailing Address - Fax:
Practice Address - Street 1:120 WEST ALLEGHENY ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:IMPERIAL
Practice Address - State:PA
Practice Address - Zip Code:15126
Practice Address - Country:US
Practice Address - Phone:724-695-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG009280225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist