Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A23840 | CA |
NPI | 1073513263 |
---|---|
Provider Name | Dr. Richard Lessman |
First Address | Thousand Oaks, CA 91360-1848 |
Second Address | Thousand Oaks, CA 91360-1848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 04/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A23840 | (05) | CA |
A23717 | (02) | CA |