Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLEY S DISHAW, PAC
ActiveLESLEY S DISHAW, PAC is a Physician Assistant healthcare provider located in FLORENCE, Wisconsin. NPI 1740262856 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FLORENCE, WI
Registration Details
- NPI Number
- 1740262856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2005 (20.705978765977 yrs)
- Last Updated
- Sep 30, 2020
- Licenses
-
1236023 (WI)5601003358 (MI)
Practice Information
- Address
-
1010 OLIVE AVEFLORENCE, WI, 541210380Browse WI providers · Browse ZIP 54121
- Phone
- 8003807411
- Fax
- 7155285592
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.