Physician Compare National (NPI:1003973165)

HEALTHCARE PROVIDER: BRUCE EDWARD LESSIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003973165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517127277
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120404000737
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LESSIN
	Individual professional last name
Provider First Name	BRUCE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1313 DOLLEY MADISON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	MCLEAN
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	221013926
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIRGINIA HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	090005
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SIBLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490043
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	INOVA LOUDOUN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y