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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