| NPI | 1851605547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S LESSER Family Practicioner 669126-430-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |