Basic Information
| Provider Information | |||||||||
| NPI: | 1457351173 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LESSARD | ||||||||
| FirstName: | JEAN | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVENUE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172682332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177655060 | ||||||||
| FaxNumber: | 7177624551 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2005 | ||||||||
| LastUpdateDate: | 01/03/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD042942E | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 25-1716306 | 01 | PA | GREATWEST HEALTHCARE | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 0011898020004 | 05 | PA | MEDICAID | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 1534204 | 01 | PA | GATEWAY | OTHER | 290779 | 01 | PA | MAMSI | OTHER | 50001105 | 01 | PA | CAPITAL BLUECROSS | OTHER | G920-0037/610923 | 01 | PA | CAREFIRST | OTHER | BV1771446 | 01 | PA | DEA | OTHER | LE782244 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 120420404 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 122709 | 01 | PA | UNISON | OTHER | 160053089 | 01 | PA | RAILROAD MEDICARE | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 2502701 | 01 | PA | AETNA HMO | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 376325 | 01 | PA | HEALTH AMERICA | OTHER | 4099107 | 01 | PA | AETNA NON-HMO | OTHER | MD042942E | 01 | PA | LICENSE | OTHER | 1316877 | 01 | PA | FIRST HEALTH | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER |