Doctor Name: | ANTHONY LESSA |
NPI Number: | 1396043881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 26315 |
Business Practice Address: | 210 North St W Talladega, AL - 351602083 |
Business Phone Number: | 2563620066 |
Business Fax Number: | 2563626700 |
Mailing Address: | 210 North St W, TALLADEGA |
State: | AL |
Postal Code: | 351602083 |
Phone Number: | 2563620066 |
Fax Number: | 2563626700 |
NPI Enumeration Date: | 03/07/2011 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 26315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |