Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP.10142 | OH |
NPI | 1013165679 |
---|---|
Provider Name | Debra S Lester |
First Address | Columbus, OH 43260-6453 |
Second Address | Marion, OH 43302-6416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 23/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2911728 | (05) | OH |