| Paul R. Lessem, Md, Pc | |
|
26789 Woodward Ave Suite 210 Huntington Woods MI 48070-1335 | |
| (248) 547-6733 | |
| Not Available |
| Full Name | Paul R. Lessem, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26789 Woodward Ave, Huntington Woods, Michigan |
| Authorized Official Name and Position | Paul Robert Lessem (PRESIDENT) |
| Authorized Official Contact | 2485476733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul R. Lessem, Md, Pc 26789 Woodward Ave Suite 210 Huntington Woods MI 48070-1335 Ph: (248) 547-6733 | Paul R. Lessem, Md, Pc 26789 Woodward Ave Suite 210 Huntington Woods MI 48070-1335 Ph: (248) 547-6733 |
| NPI Number | 1982850608 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 9638246366 |
|---|---|
| Medicare Enrollment ID | O20080923000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982850608 | NPI | - | NPPES |
| 1422425-10 | Medicaid | MI | |
| 2606363462 | Other | BLUE CROSS | |
| 06363460261 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul R Lessem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467451161 PECOS PAC ID: 0648347377 Enrollment ID: I20080923000319 |
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