=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023098381
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. ROBERT LESSER AND ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2006
-----------------------------------------------------
Last Update Date | 10/26/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3600 PRYTANIA ST
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70115-8401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-895-9044
-----------------------------------------------------
Fax | 504-895-5405
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4608 CARONDELET ST
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70115-4822
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-319-1016
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | TERESA SABA
-----------------------------------------------------
Credential | LPN
-----------------------------------------------------
Telephone | 504-895-9044
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN87376
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------