Individual
PAUL ROBERT LESSEM
Active
Individual
PAUL ROBERT LESSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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