Provider Demographics
NPI:1982107454
Name:LESSER, FELISA DIANA (NP)
Entity type:Individual
Prefix:MRS
First Name:FELISA
Middle Name:DIANA
Last Name:LESSER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 W MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3768
Mailing Address - Country:US
Mailing Address - Phone:832-975-7579
Mailing Address - Fax:832-281-0975
Practice Address - Street 1:612 W MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3768
Practice Address - Country:US
Practice Address - Phone:832-975-7579
Practice Address - Fax:832-281-0975
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily