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Organization
MARTIN L LESIN DC PA
Active
Organization
MARTIN L LESIN DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN L LESIN DC (CHIROPRACTIC PHYSICIAN OWNER)
(772) 335-3110
Entity
Organization
Contact information
Practice address
1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952
(772) 335-3110
(772) 398-0704
Mailing address
1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952
(772) 335-3110
(772) 398-0704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0002815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55715
BLUE CROSS BLUE SHIELD FL
—
Enumeration date
03/20/2007
Last updated
12/05/2007
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