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General NPI Number Information
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NPI Number | 1407790157
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Entity Type | Individual
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Provider Name | KELSEY LEE LESSARD ND
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 3368 BELTLINE CT NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-9480
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Country | US
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Telephone | 616-899-9447
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 NORFOLK AVE
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City | GRAND BLANC
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State | MI
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Zip | 48439-5173
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Country | US
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Telephone | 810-287-7169
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1167
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License Number State | MN
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