Provider Demographics
NPI:1083948327
Name:LESSLER PULMONARY & SLEEP DISORDER CENTER PLLC
Entity Type:Organization
Organization Name:LESSLER PULMONARY & SLEEP DISORDER CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-655-8040
Mailing Address - Street 1:3155 E SOUTHERN AVE
Mailing Address - Street 2:201
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-5519
Mailing Address - Country:US
Mailing Address - Phone:480-655-8040
Mailing Address - Fax:480-655-1640
Practice Address - Street 1:3155 E SOUTHERN AVE
Practice Address - Street 2:201
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5519
Practice Address - Country:US
Practice Address - Phone:480-655-8040
Practice Address - Fax:480-655-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34049174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ985252Medicaid
AZG90308Medicare UPIN