MEDICARE: DR. ADAM CHAD LESSNE M.D.

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
1	207RG0100X	Gastroenterology Physician	ME 127041	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740504778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM CHAD LESSNE M.D.

Provider Business Mailing Address
First Line	:	4700 SHERIDAN ST
Second Line	:	SUITE M
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3420
Country	:	US
Telephone Number	:	954-961-8400
Fax Number	:	954-961-8401

Provider Business Practice Location Address
First Line	:	11011 SHERIDAN ST STE 109
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1501
Country	:	US
Telephone Number	:	954-961-8400
Fax Number	:	954-961-8401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2010
Last Update Date	:	03/19/2021

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