Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 94-06192 | KS |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | N5187 | TX |
NPI | 1205986825 |
---|---|
Provider Name | Mark Andrew Lessner |
First Address | Frisco, TX 75035-4630 |
Second Address | Frisco, TX 75035-4630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 23/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
215348801 | (05) | TX |
215348802 | (05) | TX |
215348803 | (05) | TX |
215348805 | (05) | TX |