MEDICARE: RAYMOND W. LESSER 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	207Y00000X	Otolaryngology Physician	MD035533E	PA
2	207Y00000X	Otolaryngology Physician	25MA05374200	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	040014829	OTHER	PA	RAILROAD MEDICARE
4	P00082329	OTHER	NJ	RAILROAD MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871538900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND W. LESSER M.D.

Provider Business Mailing Address
First Line	:	1601 WALNUT ST
Second Line	:	SUITE 1405
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2944
Country	:	US
Telephone Number	:	215-790-1553
Fax Number	:	215-735-4977

Provider Business Practice Location Address
First Line	:	1601 WALNUT ST
Second Line	:	SUITE 1405
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2944
Country	:	US
Telephone Number	:	215-790-1553
Fax Number	:	215-735-4977

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	07/29/2014

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Directions to “ RAYMOND W. LESSER M.D.” Practice Location

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