MEDICARE: DR. MARK ELLIOT LESSING DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	1435	MA

General Provider Information

NPI Number	:	1922000249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ELLIOT LESSING DPM

Provider Business Mailing Address
First Line	:	5 MANOR DR
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-1057
Country	:	US
Telephone Number	:	781-749-6055
Fax Number	:	781-556-0028

Provider Business Practice Location Address
First Line	:	5 MANOR DR
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-1057
Country	:	US
Telephone Number	:	781-749-6055
Fax Number	:	781-556-0028

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/19/2010

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