Individual
ELI LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5556
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A132484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1687450
—
AK
Enumeration date
04/01/2013
Last updated
03/27/2021
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