| Bruce E Lessin M D P C | |
|
1313 Dolley Madison Blvd Suite 207 Mc Lean VA 22101-3953 | |
| (703) 821-1677 | |
| Not Available |
| Full Name | Bruce E Lessin M D P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 1313 Dolley Madison Blvd, Mc Lean, Virginia |
| Authorized Official Name and Position | Bruce E Lessin (PHYSICIAN) |
| Authorized Official Contact | 7038211677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce E Lessin M D P C 1313 Dolley Madison Blvd Suite 207 Mc Lean VA 22101-3953 Ph: (703) 821-1677 | Bruce E Lessin M D P C 1313 Dolley Madison Blvd Suite 207 Mc Lean VA 22101-3953 Ph: (703) 821-1677 |
| NPI Number | 1194091744 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 8729248489 |
|---|---|
| Medicare Enrollment ID | O20120404000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194091744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101023985 (Virginia) | Primary |
| Provider Name | Bruce E Lessin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003973165 PECOS PAC ID: 7517127277 Enrollment ID: I20120404000737 |
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