Leon George Schlesser, PHARMACIST

Individual provider Active NPI Pharmacist · Lacrosse, WI

NPI 1831476225 · NPPES record last updated Nov 14, 2011

Key facts

NPI
1831476225
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
10759 (WI)
Practice address
900 West Avenue South
Lacrosse, WI 54601
Phone
(608) 796-2058
Fax
(608) 796-2059
NPI assigned
Nov 14, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10759WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10759 WI Yes

Addresses

Primary practice location

900 West Avenue South
Lacrosse, WI 54601

Mailing address

900 West Ave S
La Crosse, WI 54601-4729
Phone (608) 796-2058

Other providers in Lacrosse, WI

All providers in Lacrosse, WI · Pharmacist in Wisconsin

Sources for this page

Verify at the official NPI Registry.