Provider Demographics
NPI:1013942309
Name:LESSER, PATRICIA M (MEDICAL PHYSICIAN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:M
Last Name:LESSER
Suffix:
Gender:F
Credentials:MEDICAL PHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:911 LIGONIER STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650
Mailing Address - Country:US
Mailing Address - Phone:724-532-2322
Mailing Address - Fax:724-532-2405
Practice Address - Street 1:911 LIGONIER STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-532-2322
Practice Address - Fax:724-532-2405
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA000149L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S55029Medicare UPIN
093380UEKMedicare ID - Type Unspecified