Provider Demographics
NPI:1457351173
Name:LESSARD, JEAN V (MD)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:V
Last Name:LESSARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:601 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2332
Practice Address - Country:US
Practice Address - Phone:717-765-5060
Practice Address - Fax:717-762-4551
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042942E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherGREATWEST HEALTHCARE
PA867633OtherMEDICARE GROUP #
PA0011898020004Medicaid
PA1007307260034OtherMEDICAID GROUP #
PA1534204OtherGATEWAY
PA290779OtherMAMSI
PA50001105OtherCAPITAL BLUECROSS
PAG920-0037/610923OtherCAREFIRST
PALE782244OtherHIGHMARK BLUESHIELD
PA120420404OtherDEPT OF LABOR
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherINTERGROUP
PA122709OtherUNISON
PA160053089OtherRAILROAD MEDICARE
PA25-1716306OtherDEVON
PA2502701OtherAETNA HMO
PA25-1716306OtherMULTIPLAN/PHCS
PA25-1716306OtherHEALTHNET/TRICARE
PA376325OtherHEALTH AMERICA
PA4099107OtherAETNA NON-HMO
PAMD042942EOtherLICENSE
PA1316877OtherFIRST HEALTH
PA25-1716306OtherINFORMED
PA25-1716306OtherINFORMED
PA1534204OtherGATEWAY
PALE782244OtherHIGHMARK BLUESHIELD