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Contact Information

JOSEPH L. LESCANO
2221 ARMY DR STE 209 MANHATTAN PLAZA
DEDEDO, GU96929
 Phone: 671-647-5477
 Fax: 671-646-6876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Medical Foods Supplier

335G00000X
 

Sleep Disorder Diagnostic

261QS1200X
Indicates primary specialty

NPI Profile & details for JOSEPH L. LESCANO

NPI Number 1417030818
LBN Legal business name JOSEPH L. LESCANO
Authorized official MONA MANLUTAC - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/23/2006
Last updated 10/24/2017 - About 9 years ago
Identifiers
GU Medicaid M0098148
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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