Provider Demographics
NPI:1053311290
Name:LESCOSKY, FRANK A (DPM)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:LESCOSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 HEMBY LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3996
Mailing Address - Country:US
Mailing Address - Phone:252-757-1600
Mailing Address - Fax:252-830-6244
Practice Address - Street 1:2100 HEMBY LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3996
Practice Address - Country:US
Practice Address - Phone:252-757-1600
Practice Address - Fax:252-830-6244
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC186213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908148Medicaid
NC8908148Medicaid
NC2432614Medicare PIN
NCT64063Medicare UPIN