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Organization
PRESQUE ISLE FAMILY MEDICINE
Active
Organization
PRESQUE ISLE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C LESSESKI M.D. (MEDICAL DOCTOR)
(814) 836-9209
Entity
Organization
Contact information
Practice address
2556 W 12TH ST, ERIE, PA 16505-4508
(814) 836-9209
Mailing address
2556 W 12TH ST, ERIE, PA 16505-4508
(814) 836-9209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007417L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012476390006
—
PA
01
—
0800122783
PALMETTO GBA
PA
01
—
645037
BLUE CROSS BLUE SHIELD
PA
Enumeration date
01/24/2007
Last updated
06/17/2014
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