Lessard, Theresa M.
Lessard, Theresa M. is an individual health care provider with primary practice located at 145 Cypress Point Pkwy Suite 105, Palm Coast FL 32164-8426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lessard, Theresa M. can be contacted via phone (386) 864-9800.Contact Information
Primary practice address
145 Cypress Point Pkwy Suite 105
Palm Coast FL 32164-8426
Phone: (386) 864-9800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA3189 | Florida |
Profile Details
| NPI number | 1194770503 |
|---|---|
| LBN Legal business name | Lessard, Theresa M. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Dec 28th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194770503 | NPPES |
| Florida | MEDICAID | 291049700 |
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