Lesser, Glenn J

Lesser, Glenn J is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Lesser, Glenn J can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 32761 North Carolina

Profile Details

NPI number 1205810660
LBN Legal business name Lesser, Glenn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 13th, 2008 - about 16 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 1205810660 NPPES
West Virginia MEDICAID 191554000
West Virginia MEDICAID 7951757
West Virginia MEDICAID Q32761
West Virginia Other 14713
West Virginia Other 37370
West Virginia MEDICAID 6037208
West Virginia Other 51757
West Virginia Other 5212184

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