Theresa M. Lessard in Palm Coast - Physician Assistant

Theresa M. Lessard - NPI 1194770503

Theresa M. Lessard is a Physician Assistant in Palm Coast, Florida. Theresa M. Lessard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theresa M. Lessard is 1194770503. The last update date is 2012-12-28.

Theresa M. Lessard's current location address is 145 Cypress Point Pkwy, Palm Coast, Florida. You can contact this provider via phone number 3868649800. The mailing address for Theresa M. Lessard is 145 Cypress Point Pkwy, Palm Coast, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa M. Lessard
Address 145 Cypress Point Pkwy, Palm Coast, Florida
Phone Number 3868649800
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1194770503
Provider Enumeration Date 2006-05-23
Last Updated Date 2012-12-28

Provider Mailing Address Detail

Address 145 Cypress Point Pkwy
City Palm Coast
State Florida (FL)
Post Code 321648426
Phone Number 3868649800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA3189
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
291049700 FL --

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FAQs about Theresa M. Lessard

What is the unique identifier code issued to Theresa M. Lessard by the Centers for Medicare & Medicaid Services (CMS)?

The Theresa M. Lessard has been assigned the NPI (National Provider Identifier) 1194770503. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Theresa M. Lessard?

The Theresa M. Lessard is physically situated at 145 Cypress Point Pkwy, in the city of Palm Coast, state of FL, with the postal code 321648426.

What is the Theresa M. Lessard's specialty and taxonomy code?

The Theresa M. Lessard's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the Theresa M. Lessard's 1194770503 issued?

The Theresa M. Lessard's 1194770503 was issued on 2006-05-23.

As of what date were the details pertaining to Theresa M. Lessard last refreshed?

The information related to the Theresa M. Lessard, including its address, specialty, and other relevant details, was last updated on 2012-12-28.

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