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NPI Code Detail

MEDICARE: DR. IAN LESSER DPT

MEDICARE:  DR. IAN  LESSER  DPT
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
1225100000XPhysical Therapist301068CA

General Provider Information

NPI Number : 1386300382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAN LESSER DPT
Provider Business Mailing Address
First Line : 1829 SUNSET BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1641
Country : US
Telephone Number : 619-889-1451
Fax Number :
Provider Business Practice Location Address
First Line : 1829 SUNSET BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1641
Country : US
Telephone Number : 619-889-1451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2021
Last Update Date : 11/14/2021

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Directions to “ DR. IAN LESSER DPT” Practice Location

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