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Contact Information

LESLIE D SACKSCHEWSKY, MD
999 S FAIRMONT AVE
SUITE 200
LODI, CA95240
 Phone: 209-334-3333
 Fax: 209-369-2641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LESLIE D SACKSCHEWSKY · (Female)

NPI # 1558396770
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 11/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G79025
  • CA Medicaid GR0022330
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    1700 COFFEE RD
    MODESTO, CA 95355
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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