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NPI Code Detail

MEDICARE: DR. PAUL ARTHUR LESSARD O.D.

MEDICARE: DR. PAUL ARTHUR LESSARD O.D.
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
1152W00000XOptometristOPC1849FL

General Provider Information

NPI Number : 1467482141
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ARTHUR LESSARD O.D.
Provider Business Mailing Address
First Line : 7511 FOLK WAY
Second Line :
City : LAKELAND
State : FL
Zip : 33809-5016
Country : US
Telephone Number : 863-853-1132
Fax Number : 863-853-1132
Provider Business Practice Location Address
First Line : 3730 US HIGHWAY 98 N
Second Line :
City : LAKELAND
State : FL
Zip : 33809-3809
Country : US
Telephone Number : 863-853-9606
Fax Number : 863-853-9344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/08/2007

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