Provider Demographics
NPI:1023088929
Name:LESSER, JAMES BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BARRY
Last Name:LESSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:44000 W 12 MILE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2644
Mailing Address - Country:US
Mailing Address - Phone:248-347-8290
Mailing Address - Fax:248-305-6845
Practice Address - Street 1:44000 W 12 MILE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2644
Practice Address - Country:US
Practice Address - Phone:248-347-8290
Practice Address - Fax:248-305-6845
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2007-08-17
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Provider Licenses
StateLicense IDTaxonomies
MI4301030711207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4476063-10Medicaid
MI4476063-10Medicaid