Lesley S Dishaw, PAC

NPI #1740262856 in Florence, Wisconsin

Provider Information

NPI Number: 1740262856
Entity Type: Individual
Name: Lesley S Dishaw, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 15, 2005
Last Updated: Sep 30, 2020

Practice Location

Address: 1010 OLIVE AVE
City: Florence
State: Wisconsin
ZIP Code: 54121-0380
Phone: (800) 380-7411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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