Provider Demographics
NPI:1578308755
Name:HAND SURGERY BOUTIQUE LLC
Entity type:Organization
Organization Name:HAND SURGERY BOUTIQUE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE SOPHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-562-5859
Mailing Address - Street 1:135 SAN LORENZO AVE STE 720
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1876
Mailing Address - Country:US
Mailing Address - Phone:305-562-5859
Mailing Address - Fax:786-590-1636
Practice Address - Street 1:135 SAN LORENZO AVE STE 720
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1876
Practice Address - Country:US
Practice Address - Phone:305-562-5859
Practice Address - Fax:786-590-1636
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNE SOPHIE LESSARD MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty