Individual ProviderLesslie Marquez DurstPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address15830 Ballantyne Medical Place, Suite 100, Charlotte, NC 28277(704) 341-0090PECOS EnrollmentBased on the most recent information from CMS, provider Lesslie Marquez Durst does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1417093642Provider TypeIndividualFull NameDurst, Lesslie MarquezTitleMrs.CredentialP.A.-CGenderFemaleSole ProprietorNoEnumeration Date1/29/2007Last Updated12/2/2015Contact InformationPractice LocationPractice Address15830 Ballantyne Medical Place, Suite 100, Charlotte, NC 28277Phone(704) 341-0090Fax(704) 341-0092Mailing LocationMailing Address15830 Ballantyne Medical Place, Suite 100, Charlotte, NC 28277Phone(704) 341-0090Fax(704) 341-0092Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-00785North Carolina