Provider Demographics
NPI:1114163581
Name:LESSIG, MEGAN K (CRNP, MSN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:K
Last Name:LESSIG
Suffix:
Gender:F
Credentials:CRNP, MSN
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Mailing Address - Street 1:34TH STREET AND CIVIC CENTER BLVD
Mailing Address - Street 2:DIVISION OF ENDOCRINOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-3174
Mailing Address - Fax:215-590-7766
Practice Address - Street 1:34TH STREET AND CIVIC CENTER BLVD.
Practice Address - Street 2:11NW, DIVISION OF ENDOCRINOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-590-3174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010025363LP0200X
NJ26NJ00501800363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics