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Individual

DR. JUAN F LESSMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
119 WOODBURY RD, HUNTINGTON, NY 11743
(917) 515-7819
Mailing address
119 WOODBURY RD, HUNTINGTON, NY 11743
(917) 515-7819

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD439948
PA
208C00000X
Colon & Rectal Surgery Physician
MD439948
PA
208D00000X
General Practice Physician
Primary
2559201
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025029530001
PA
Enumeration date
11/24/2008
Last updated
02/22/2016
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