Organization
BLACKBELT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK PAUL LESSMANN M.D. (OWNER)
(205) 652-2070
Entity
Organization
Contact information
Practice address
1302 NORTH WASHINGTON, LIVINGSTON, AL 35470-0000
(205) 652-2070
(205) 652-2071
Mailing address
1302 NORTH WASHINGTON, LIVINGSTON, AL 35470-0000
(205) 652-2070
(205) 652-2071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25980
AL
Other
Enumeration date
08/18/2008
Last updated
01/16/2009
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