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Laurence Edward Lesser

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NPI Number Detailed Information

Provider Information:

Name: Laurence Edward Lesser
Gender: M
Provider License Number If Given: 104001252

NPI Information:

NPI: 1629062120
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 10/14/2011

Provider Business Mailing Address:

Address: 10411 COURTHOUSE RD SUITE B
Spotsylvania, VA 22553
Phone Number: 5408919191
Fax Number: 5408919225

Provider Business Practice Location Address:

Address: 10411 COURTHOUSE RD SUITE B
Spotsylvania, VA 22553
Phone Number: 5408919191
Fax Number: 5408919225

Provider Taxonomy:

Primary: 111N00000X
Secondary (if any):
State: VA

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