Most Relevant Information
Provider Data
NPI Number: | 1003057126 |
Provider Name: | HEATHER MARIE LESNIK CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | 4704192495 |
Most Important Dates
Enumeration Date: | 03/19/2009 |
Last Updated: | 03/19/2009 |
Provider Practice Location
602 JACKSON ST
PETOSKEY
MI
497702289
Practice Location Phone/Fax
Phone: | 2313482795 |
Fax: | 2313482031 |
Provider Mailing Location
602 JACKSON ST
PETOSKEY
MI
497702289
Provider Mailing Phone/Fax
Phone: | 2313482795 |
Fax: | 2313482031 |