MEDICARE: DONALD PATRICK LESSLIE

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	2086X0206X	Surgical Oncology Physician	OS014080	PA
2	2086X0206X	Surgical Oncology Physician	L7008	TX

General Provider Information

NPI Number	:	1104027135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD PATRICK LESSLIE

Provider Business Mailing Address
First Line	:	1924 PINE ST STE 501
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2452
Country	:	US
Telephone Number	:	325-670-4333
Fax Number	:	833-437-1261

Provider Business Practice Location Address
First Line	:	1924 PINE ST STE 501
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2452
Country	:	US
Telephone Number	:	325-670-4333
Fax Number	:	833-437-1261

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	01/24/2025

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Directions to “ DONALD PATRICK LESSLIE ” Practice Location

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