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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194770503 NPPES
Florida MEDICAID 291049700

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