Individual
BRUCE ARTHUR LESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23592
SC
207VE0102X
Reproductive Endocrinology Physician
23592
SC
207VE0102X
Reproductive Endocrinology Physician
Primary
29614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
05/25/2006
Last updated
01/30/2019
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