MEDICARE: DR. JEFFREY SCOTT LESSAR MD

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	207R00000X	Internal Medicine Physician	D0061998	MD
2	207RP1001X	Pulmonary Disease Physician	0101239816	VA

General Provider Information

NPI Number	:	1194726521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY SCOTT LESSAR MD

Provider Business Mailing Address
First Line	:	220 CAMPUS BLVD STE 100
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2896
Country	:	US
Telephone Number	:	540-535-5100
Fax Number	:	540-536-0235

Provider Business Practice Location Address
First Line	:	190 CAMPUS BLVD STE 201
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2872
Country	:	US
Telephone Number	:	540-536-5980
Fax Number	:	540-536-5979

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	06/18/2021

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