Active NPI
Martin L Lesin DC PA
- Chiropractor
- Port St Lucie, FL
National Provider Identifier
1912022526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0002815
- Legal business name
- MARTIN L LESIN DC PA
- Practice address
- 1967 SE Port St Lucie Blvd
Port St Lucie, FL 34952 - Phone
- (772) 335-3110
- Fax
- (772) 398-0704
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin L Lesin, DC
- Title
- Chiropractic Physician Owner
- Phone
- (772) 335-3110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0002815 | FL | Primary |
Addresses
Primary practice location
1967 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Mailing address
1967 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55715 | Other | BLUE CROSS BLUE SHIELD FL |
National Provider Directory
National Provider DirectoryLocations
1967 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1912022526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-335-3110",
"fax_number": "772-398-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 SE PORT ST LUCIE BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-335-3110",
"fax_number": "772-398-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN L LESIN DC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "LESIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN OWNER",
"authorized_official_telephone_number": "772-335-3110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0002815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "55715",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Holly Marie Marple, CNP
- Edgar Marrero
- Ingrid Debbieann Marsden
- Jeanine C Marshall
- Rebecca Lynne Marshall
- Martin L. Lesin, DC PA
- Martin Memorial Medical Center Inc (Cleveland Clinic Martin North, South, Tradition Hospitals)
- Martin Memorial Medical Center Inc (Cleveland Clinic Martin North, South, Tradition Hospitals)
- Martin Memorial Physician Corporation, Inc (MHPG Tradition Pharmacy at Martin Health)
- Jody Rochelle Martin, MSPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.