Healthcare Provider Details

I. General information

NPI: 1518152974
Provider Name (Legal Business Name): JAMES F LESAR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 SHERIDAN DR SUITE 202
LANCASTER OH
43130-1381
US

IV. Provider business mailing address

1550 SHERIDAN DR SUITE 202
LANCASTER OH
43130-1381
US

V. Phone/Fax

Practice location:
  • Phone: 740-654-0232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES F LESAR
Title or Position: PRESIDENT
Credential:
Phone: 740-654-0232