Lessard, Collette Rae

Lessard, Collette Rae is an individual health care provider with primary practice located at 1380 S Columbia Rd - Altru Family Medicine Center , Grand Forks ND 58201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lessard, Collette Rae can be contacted via phone (701) 795-2000.

Contact Information

Primary practice address
1380 S Columbia Rd - Altru Family Medicine Center Grand Forks ND 58201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12836 North Dakota

Profile Details

NPI number 1619107380
LBN Legal business name Lessard, Collette Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated Jun 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619107380 NPPES
Minnesota MEDICAID ENROLLED

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