Diane Lesiak
Pharmacist in Bayonne, NJ. Individual provider (NPI-1).
NPI number1164028726
StatusActive
Last updated in NPPESDec 9, 2020
Details
- NPI
- 1164028726
- Entity type
- Individual (NPI-1)
- Name
- Diane Lesiak
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2020
- Certification date
- Dec 9, 2020
- Last updated
- Dec 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RI02157900 | NJ | Yes |
Practice location
583 Avenue CBayonne, NJ 07002-3881
Phone 201-437-5898
Mailing address
212 Sextant RdManahawkin, NJ 08050-4732
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