Individual
LOUIS LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4738 W HOLT RD, HOLT, MI 48842-1666
(517) 694-1466
(517) 694-3530
Mailing address
4738 W HOLT RD, HOLT, MI 48842-1666
(517) 694-1466
(517) 694-3530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL007973
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101075
PHYSICIANS HEALTH PLAN OF
MI
05
—
0170133
—
MI
05
—
114346407
—
MI
01
—
LL007973
BCBSM
—
Enumeration date
06/02/2006
Last updated
11/18/2009
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