Individual
PAUL ROBERT LESSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26789 WOODWARD AVE, HUNTINGTON WOODS, MI 48070-1335
(248) 547-6733
Mailing address
26789 WOODWARD AVE, HUNTINGTON WOODS, MI 48070-1335
(248) 547-6733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301030749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157725010
—
MI
01
—
4301030749
CONTROLLED SUBSTANCE
MI
Enumeration date
07/15/2005
Last updated
03/07/2023
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