Jon Douglas Lesan DDS Rph PA
NPI #1952479156 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1952479156
- Entity Type
- Organization
- Organization Name
- Jon Douglas Lesan DDS Rph PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 123 COBIA CT
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-6862
- Phone
- (910) 347-1211
Authorized Official
- Name
- DR. JON DOUGLAS LESAN, DDS RPH PA
- Title
- OWNER DENTIST
- Phone
- (910) 347-1211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Dentist - General Practice — General Practice |
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