Individual
KYLE LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 WASHINGTON AVE, ALBANY, NY 12222-0100
(518) 242-1924
Mailing address
1400 WASHINGTON AVE, ALBANY, NY 12222-0100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003646
NY
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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