Individual
JENNIFER K LESSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1245 WASHINGTON AVE S, DETROIT LAKES, MN 56501
(218) 846-2000
(218) 846-2114
Mailing address
1245 WASHINGTON AVE S, DETROIT LAKES, MN 56501
(218) 846-2000
(218) 846-2114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10026
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25805
NDBCBS
—
01
—
353G9NI
MNBCBS
—
05
—
615169800
—
MN
Enumeration date
06/05/2006
Last updated
04/18/2022
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