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Diego Lescano, PA

Physician Assistant in Tracy, CA. Individual provider (NPI-1).

NPI number1831713833
StatusActive
Last updated in NPPESJul 24, 2022

Details

NPI
1831713833
Entity type
Individual (NPI-1)
Name
Diego Lescano
Credential
PA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 4, 2020
Certification date
Jul 24, 2022
Last updated
Jul 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant58606CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1420 N Tracy Blvd
Tracy, CA 95376-3451

Phone 209-832-6018

Mailing address

427 Alvarado St
Brisbane, CA 94005-1603

Phone 415-756-2548

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