Physician Assistant
LESLEY DISHAW PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740262856 · enumerated 2005-11-15 · record updated 2020-09-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1010 OLIVE AVE, FLORENCE, WI, 54121-0380 (800) 380-7411 Fax (715) 528-5592 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 22487, GREEN BAY, WI, 54305-2487 (920) 445-7226 Fax (920) 445-7229 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 1236023 WI
- Physician Assistant 363A00000X · Primary · License 5601003358 MI
In this directory
Locations and evidence
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Practice location
FLORENCE, WI, 541210380
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.