Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A89883 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | A89883 | CA |
NPI | 1427274679 |
---|---|
Provider Name | Daniel John Lesser |
First Address | San Diego, CA 92123-4802 |
Second Address | San Diego, CA 92123-2758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 02/11/2011 |