Provider Demographics
NPI:1538865373
Name:LESSA, ANGELA (DOULA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:LESSA
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3126
Mailing Address - Country:US
Mailing Address - Phone:908-327-0594
Mailing Address - Fax:
Practice Address - Street 1:383 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3126
Practice Address - Country:US
Practice Address - Phone:908-327-0594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula