Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9170611 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9170611 | FL |
NPI | 1306069968 |
---|---|
Provider Name | Donna Lester |
First Address | Lakeland, FL 33805-4543 |
Second Address | Lakeland, FL 33805-4543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2020 |