Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Wallace Lesueur, MD

Individual provider Dermatology Physician · NPI 1356364624

Benjamin Wallace Lesueur, MD is a Dermatology in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2000, 26 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11130 N Tatum Blvd #100
Phoenix, AZ 85028
Phone: (602) 494-1817
Fax: (602) 494-7103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 29865 (AZ)

Record details

NPI number1356364624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESApril 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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