Provider Demographics
NPI:1154443745
Name:LESSNER, CORY M (MD)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:M
Last Name:LESSNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 SAWGRASS CORPORATE PKWY
Mailing Address - Street 2:STE 410
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2883
Mailing Address - Country:US
Mailing Address - Phone:954-835-0800
Mailing Address - Fax:954-835-0885
Practice Address - Street 1:1601 SAWGRASS CORPORATE PKWY
Practice Address - Street 2:SUITE 410
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2883
Practice Address - Country:US
Practice Address - Phone:954-835-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2017-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME62283207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF32411Medicare UPIN