Provider Demographics
NPI:1053917369
Name:LESKOVEC, DENNIS JOSEPH II
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:JOSEPH
Last Name:LESKOVEC
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 ALA ILIMA ST APT B1212
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-6041
Mailing Address - Country:US
Mailing Address - Phone:808-439-4323
Mailing Address - Fax:
Practice Address - Street 1:3215 ALA ILIMA ST APT B1212
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-6041
Practice Address - Country:US
Practice Address - Phone:808-439-4323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician