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Organization
STACY L LESSMAN PA
Active
Organization
STACY L LESSMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L LESSMAN MD (OWNER)
(254) 776-5900
Entity
Organization
Contact information
Practice address
611 W HWY 6, SUITE 108, WACO, TX 76710-7544
(254) 776-5900
Mailing address
611 W HWY 6, SUITE 108, WACO, TX 76710-7544
(254) 776-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086LB
BC/BS
TX
01
—
124230
SUPERIOR/CHIPS
TX
01
—
DC8517
MEDICARE RAILROAD
TX
Enumeration date
10/11/2007
Last updated
10/11/2007
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