Active NPI
Laurence Edward Lesser, DC
- Chiropractor
- Spotsylvania, VA
National Provider Identifier
1629062120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001252
- Practice address
- 10411 Courthouse Rd
Suite B
Spotsylvania, VA 22553-1798 - Phone
- (540) 891-9191
- Fax
- (540) 891-9225
- NPI assigned
- Sep 12, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001252 | VA | Primary |
Addresses
Primary practice location
10411 Courthouse Rd
Suite B
Spotsylvania, VA 22553-1798
Mailing address
10411 Courthouse Rd
Suite B
Spotsylvania, VA 22553-1798
Phone (540) 891-9191
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8940258 | Medicaid | VA | |
| 258995 | Other | MAMSI | |
| 2069101 | Other | AETNA HMO | |
| 76579 | Other | VA | SOUTHERN HEALTH INSURANCE |
| 107097 | Other | VA | ANTHEM BC/BS |
| 5518015 | Other | AETNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111121001017 | VA | Practitioner - Chiropractic | 8729257274 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1629062120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 COURTHOUSE RD",
"address_2": "SUITE B",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225531798",
"telephone_number": "540-891-9191",
"fax_number": "540-891-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 COURTHOUSE RD",
"address_2": "SUITE B",
"city": "SPOTSYLVANIA",
"state": "VA",
"postal_code": "225531798",
"telephone_number": "540-891-9191",
"fax_number": "540-891-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "LAURENCE",
"middle_name": "EDWARD",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8940258",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "258995",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2069101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH INSURANCE",
"identifier": "76579",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "107097",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5518015",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spotsylvania, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.