Baron, Michael Lesley

Baron, Michael Lesley is an sole proprietor health care provider with primary practice located at 1505 Lilburn Stone Mtn Rd Ste 100, Stone Mountain GA 30087-1857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baron, Michael Lesley can be contacted via phone (770) 469-1711.

Contact Information

Primary practice address
1505 Lilburn Stone Mtn Rd Ste 100 Stone Mountain GA 30087-1857
Phone: (770) 469-1711
Fax: (770) 469-1837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0033273 Georgia

Profile Details

NPI number 1104820125
LBN Legal business name Baron, Michael Lesley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Nov 23rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104820125 NPPES
Georgia MEDICAID 00474779R

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