Active NPI
Lawrence Henry Lesser, MD
- Pediatrics Physician
- Marina del Rey, CA
National Provider Identifier
1639514813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A35602
- Practice address
- 3609 Esplanade
Marina del Rey, CA 90292-7844 - Phone
- (310) 301-6370
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A35602 | CA | Primary |
Addresses
Primary practice location
3609 Esplanade
Marina del Rey, CA 90292-7844
Mailing address
3609 Esplanade
Marina del Rey, CA 90292-7844
Phone (310) 301-6370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617001969 | CA | Order and Referring Only - Pediatric Medicine | 0749571941 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35602 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1639514813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 ESPLANADE",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927844",
"telephone_number": "310-301-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 ESPLANADE",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927844",
"telephone_number": "310-301-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSER",
"first_name": "LAWRENCE",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A35602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.