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
Phone: (701) 795-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619107380 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
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