Organization
PAUL R. LESSEM, MD, PC
Active
Organization
PAUL R. LESSEM, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ROBERT LESSEM MD (PRESIDENT)
(248) 547-6733
Entity
Organization
Contact information
Practice address
26789 WOODWARD AVE, SUITE 210, HUNTINGTON WOODS, MI 48070-1335
(248) 547-6733
Mailing address
26789 WOODWARD AVE, SUITE 210, HUNTINGTON WOODS, MI 48070-1335
(248) 547-6733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06363460261
—
MI
05
—
1422425-10
—
MI
01
—
2606363462
BLUE CROSS
—
Enumeration date
08/13/2008
Last updated
08/13/2008
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