Provider Demographics
NPI:1902663750
Name:LESESKY, NATALIE MARTHA (RDN, MS, LD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARTHA
Last Name:LESESKY
Suffix:
Gender:F
Credentials:RDN, MS, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5478 HAYDEN STATION WAY APT 246
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7575
Mailing Address - Country:US
Mailing Address - Phone:440-409-5114
Mailing Address - Fax:
Practice Address - Street 1:5478 HAYDEN STATION WAY APT 246
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7575
Practice Address - Country:US
Practice Address - Phone:440-409-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10132133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered