Provider Demographics
NPI:1306821624
Name:LESSER, JULIE K (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:K
Last Name:LESSER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:910 E 26TH ST
Mailing Address - Street 2:STE 510
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-813-7179
Mailing Address - Fax:612-813-7190
Practice Address - Street 1:6490 EXCELSIOR BLVD
Practice Address - Street 2:STE W505 CENTER FOR TREATMENT OF EATING DISORDERS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-813-7179
Practice Address - Fax:612-813-7190
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2012-09-20
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Provider Licenses
StateLicense IDTaxonomies
MN340322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I25715Medicare UPIN
MNI25715Medicare UPIN