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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 |
