Provider Demographics
NPI:1245958883
Name:LESSANI, PARSA NICHOLAS
Entity type:Individual
Prefix:
First Name:PARSA
Middle Name:NICHOLAS
Last Name:LESSANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 S BRADBURY DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7029
Mailing Address - Country:US
Mailing Address - Phone:405-437-8689
Mailing Address - Fax:
Practice Address - Street 1:28 S BRADBURY DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-7029
Practice Address - Country:US
Practice Address - Phone:405-437-8689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program