Provider Demographics
NPI:1255498085
Name:LESSMAN, SHEILA (PHYSICIANS ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:LESSMAN
Suffix:
Gender:F
Credentials:PHYSICIANS ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 AUTUMN WINDS CT
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5601
Mailing Address - Country:US
Mailing Address - Phone:410-308-2765
Mailing Address - Fax:
Practice Address - Street 1:7 AUTUMN WIND COURT
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1234
Practice Address - Country:US
Practice Address - Phone:410-308-2765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC000079363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical