Organization
INSTITUTE FOR DIVINE HEALTH
Active
Organization
INSTITUTE FOR DIVINE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY JOYCE LESSANE MD (PRESIDENT)
(704) 933-2418
Entity
Organization
Contact information
Practice address
521 N CANNON BLVD, B, KANNAPOLIS, NC 28083-3801
(704) 933-2418
(704) 933-1616
Mailing address
PO BOX 5086, CONCORD, NC 28027-1562
(704) 933-2418
(704) 933-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39515
NC
Other
Enumeration date
07/07/2006
Last updated
08/08/2013
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