Individual
DR. COLLETTE RAE LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER, GRAND FORKS, ND 58201
(701) 795-2000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12836
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/16/2009
Last updated
06/08/2020
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