Organization · Type 2 NPI

Joseph L. Lescano

Prosthetic/Orthotic Supplier · Dededo, GU

NPI number 1417030818 Active

Practice location

2221 Army Dr Ste 209 Manhattan Plaza
Dededo, GU 96929

Fax (671) 646-6876

Mailing address

PO Box 5622
Hagatna, GU 96929

Other practice locations

  • 2221 Army Dr Ste 209 Manhattan Plaza, Dededo, GU 96929 · (671) 647-5477

Specialties and licenses

TaxonomyCodeLicense
Sleep Disorder Diagnostic Clinic/Center 261QS1200XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed
Medical Foods Supplier 335G00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

About NPI 1417030818

Joseph L. Lescano's National Provider Identifier is 1417030818, issued on Oct 23, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Dededo, GU. The record was last updated on Oct 24, 2017.