Individual
LORI LESSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
220 RIVERSIDE DR, BAYVILLE, NJ 08721-2531
(732) 606-1090
(732) 606-1093
Mailing address
1608 ROUTE 88, SUITE 203, BRICK, NJ 08724-3009
(732) 606-1090
(732) 606-1093
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3814
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00162141
—
NJ
Enumeration date
10/03/2006
Last updated
07/08/2007
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