Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25MD00123000 | NJ |
N | 222Z00000X | Podiatrist | 25MD00123000 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | 25MD00123000 | NJ |
N | 111NR0200X | Radiology | 25MD00123000 | NJ |
N | 213ER0200X | Radiology | 25MD00123000 | NJ |
N | 2081S0010X | Sports Medicine | 25MD00123000 | NJ |
N | 213ES0000X | Sports Medicine | 25MD00123000 | NJ |
Y | 213ES0131X | Foot Surgery | 25MD00123000 | NJ |
NPI | 1144219486 |
---|---|
Provider Name | Dr. Richard Leslie Lesser |
First Address | Howell, NJ 07731-3380 |
Second Address | Howell, NJ 07731-3380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 19/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T73093 | (02) |