Jeffrey R Lesueur MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

45950 Issued in AZ

Legal business name

JEFFREY R LESUEUR MD PC

Practice address

5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739

Phone

(928) 532-0072

Fax

(928) 532-0078

NPI assigned

Jun 19, 2012

Last updated

Feb 3, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Rayne Lesueur, MDNPI 1336366335

Title

President

Phone

(928) 532-0072

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Rayne Lesueur, M.D.

  • Otolaryngology Physician
  • Lakeside, AZ
  • NPI 1336366335
  Medicare reassignment NPD Authorized official
• Kent W Cox, M.D.

  • Otolaryngology Physician
  • Lakeside, AZ
  • NPI 1548252109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1942563465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 HIGHWAY 260 STE 140",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295750",
            "telephone_number": "928-532-0072",
            "fax_number": "928-532-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 HIGHWAY 260",
            "address_2": "SUITE 140",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295739",
            "telephone_number": "928-532-0072",
            "fax_number": "928-532-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R LESUEUR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "LESUEUR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-532-0072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "45950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZMEDICALBOARD",
            "identifier": "45950",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699587",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543319",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey M Reagan MD PLLC
• Scott Milton Jensen, M.D.
• Jibaro Medical Clinic PLLC
• John J Sullivan, DDS, PC
• Heather Keller
• Kent Walter Cox MD PS

• Otolaryngology Physician in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Otolaryngology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.