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NPI Code Detail

MEDICARE: MRS. SHEILA LESSMAN PHYSICIANS ASSISTANT

MEDICARE:  MRS. SHEILA  LESSMAN  PHYSICIANS ASSISTANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantC000079MD

General Provider Information

NPI Number : 1255498085
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHEILA LESSMAN PHYSICIANS ASSISTANT
Provider Business Mailing Address
First Line : 7 AUTUMN WINDS CT
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-5601
Country : US
Telephone Number : 410-308-2765
Fax Number :
Provider Business Practice Location Address
First Line : 7 AUTUMN WIND COURT
Second Line :
City : REISTERSTOWN
State : MD
Zip : 21136-1234
Country : US
Telephone Number : 410-308-2765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SHEILA LESSMAN PHYSICIANS ASSISTANT” Practice Location

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