JOSEPH L. LESCANO NPI 1417030818

NPI Information

  • NPI: 1417030818
  • Provider Name: JOSEPH L. LESCANO
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: PACIFIC SLEEP CARE & WELLNESS
  • Address: 2221 ARMY DR STE 209 MANHATTAN PLAZA
    DEDEDO, GU
    ZIP 96929
  • Phone: (671) 647-5477

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NPI Details

JOSEPH L. LESCANO is a prosthetic orthotic supplier in Dededo, GU. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. JOSEPH L. LESCANO NPI is 1417030818. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Sleep Care & Wellness.

The provider's business location address is:

2221 ARMY DR STE 209 MANHATTAN PLAZA
DEDEDO, GU
ZIP 96929
Phone: (671) 647-5477
Fax: (671) 646-6876

The provider's authorized official is Mona M Manlutac .
The authorized official title is Office Manager and has the following contact phone number (671) 647-5477.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 10/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1200XClinic/CenterSleep Disorder DiagnosticNo
2332B00000XDurable Medical Equipment & Medical SuppliesGUAMNo
3335G00000XMedical Foods SupplierNo
4335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14960160001MEDICARE NSC
2M0098148MEDICAIDGUAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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