Individual
ROBERT R. LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
307 S. 13TH STREET, SUITE 300, MOUNT VERNON, WA 98274
(360) 336-9757
(360) 814-5237
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0250 P
NH
363A00000X
Physician Assistant
PA60633795
WA
363AM0700X
Medical Physician Assistant
Primary
PA60633795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009541
—
NH
Enumeration date
05/17/2007
Last updated
05/19/2016
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