| Stacy L Lessman Pa | |
|
611 W Hwy 6 Suite 108 Waco TX 76710-7544 | |
| (254) 776-5900 | |
| Not Available |
| Full Name | Stacy L Lessman Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 611 W Hwy 6, Waco, Texas |
| Authorized Official Name and Position | Stacy L Lessman (OWNER) |
| Authorized Official Contact | 2547765900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy L Lessman Pa 611 W Hwy 6 Suite 108 Waco TX 76710-7544 Ph: (254) 776-5900 | Stacy L Lessman Pa 611 W Hwy 6 Suite 108 Waco TX 76710-7544 Ph: (254) 776-5900 |
| NPI Number | 1265620546 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265620546 | NPI | - | NPPES |
| 124230 | Other | TX | SUPERIOR/CHIPS |
| 0086LB | Other | TX | BC/BS |
| DC8517 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1110 (Texas) | Primary |
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