Provider Demographics
NPI:1871169441
Name:LESSER, LAURA (NBC-HWC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:LESSER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 CONVENT AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-9151
Mailing Address - Country:US
Mailing Address - Phone:917-392-2671
Mailing Address - Fax:
Practice Address - Street 1:270 CONVENT AVE APT 4A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-9151
Practice Address - Country:US
Practice Address - Phone:917-392-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date: