| Lesure And Associates | |
|
4475 Valley Forge Dr Fairview Park OH 44126-2826 | |
| (330) 418-7887 | |
| (330) 776-5557 |
| Full Name | Lesure And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 4475 Valley Forge Dr, Fairview Park, Ohio |
| Authorized Official Name and Position | Suzanne Lesure (OWNER) |
| Authorized Official Contact | 3304187887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesure And Associates 4475 Valley Forge Dr Fairview Park OH 44126-2826 Ph: (330) 418-7887 | Lesure And Associates 4475 Valley Forge Dr Fairview Park OH 44126-2826 Ph: (330) 418-7887 |
| NPI Number | 1689002669 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 1658326897 |
|---|---|
| Medicare Enrollment ID | O20240626002140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689002669 | NPI | - | NPPES |
| 607329 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3456 (Ohio) | Primary |
| Provider Name | Suzanne Lesure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689631277 PECOS PAC ID: 1254351026 Enrollment ID: I20150603002695 |
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