| Beverly Joyce Lessane Md Internal Medicine Pllc | |
|
521b N Cannon Blvd Kannapolis NC 28083-3801 | |
| (704) 933-2418 | |
| (704) 933-1616 |
| Full Name | Beverly Joyce Lessane Md Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 521b N Cannon Blvd, Kannapolis, North Carolina |
| Authorized Official Name and Position | Beverly Joyce Lessane (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7047914867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Joyce Lessane Md Internal Medicine Pllc Po Box 5086 Concord NC 28027-1562 Ph: (704) 791-4867 | Beverly Joyce Lessane Md Internal Medicine Pllc 521b N Cannon Blvd Kannapolis NC 28083-3801 Ph: (704) 933-2418 |
| NPI Number | 1417624917 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 3476942608 |
|---|---|
| Medicare Enrollment ID | O20211110000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417624917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Beverly J Lessane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740251875 PECOS PAC ID: 5597763821 Enrollment ID: I20061121000582 |
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