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Individual

JAMES A LESSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 746-7521
(701) 795-2553
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 746-7521
(701) 795-2553

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4064
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023397
BCBS ND
ND
05
12875
ND
01
928S6LE
BCBS MN
MN
01
P00062982
RR MEDICARE
Enumeration date
01/30/2006
Last updated
12/27/2007
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