Individual
MICHAEL WILLIAM LESSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 STANDISH CT, PORT HURON, MI 48060-1842
(810) 841-1413
Mailing address
2211 STANDISH CT, PORT HURON, MI 48060-1842
(810) 841-1413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704267782
MI
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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