Individual
STUART ROBERT LESSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 CONESTOGA RD, BUILDING 2, SUITE 106, BRYN MAWR, PA 19010-1352
(610) 525-5028
(610) 525-2494
Mailing address
919 CONESTOGA RD, BUILDING 2, SUITE 106, BRYN MAWR, PA 19010-1352
(610) 525-5028
(610) 525-2494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD029219
PA
207NS0135X
Procedural Dermatology Physician
Primary
MD029219E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016366280005
—
PA
Enumeration date
02/14/2006
Last updated
12/22/2011
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