Active NPI
Louis Lessard, DO
- Family Medicine Physician
- Holt, MI
National Provider Identifier
1265479554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LL007973
- Practice address
- 4738 W Holt Rd
Holt, MI 48842-1666 - Phone
- (517) 694-1466
- Fax
- (517) 694-3530
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL007973 | MI | Primary |
Addresses
Primary practice location
4738 W Holt Rd
Holt, MI 48842-1666
Mailing address
4738 W Holt Rd
Holt, MI 48842-1666
Phone (517) 694-1466
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL007973 | Other | BCBSM | |
| 0170133 | Medicaid | MI | |
| 114346407 | Medicaid | MI | |
| LL007973 | Other | BCN BLUE CARE NETWORK | |
| 0101075 | Other | MI | PHYSICIANS HEALTH PLAN OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL007973 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1265479554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4738 W HOLT RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488421666",
"telephone_number": "517-694-1466",
"fax_number": "517-694-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4738 W HOLT RD",
"city": "HOLT",
"state": "MI",
"postal_code": "488421666",
"telephone_number": "517-694-1466",
"fax_number": "517-694-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSARD",
"first_name": "LOUIS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "LL007973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "LL007973",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170133",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114346407",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN BLUE CARE NETWORK",
"identifier": "LL007973",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN OF",
"identifier": "0101075",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.