Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | N3825 | TX |
N | 207ND0900X | Dermatopathologist | N3825 | TX |
NPI | 1265696538 |
---|---|
Provider Name | Laura Jeanne Lester |
First Address | Cedar Park, TX 78613-7763 |
Second Address | Cedar Park, TX 78613-7763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 04/08/2017 |