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NPI Code Detail

MEDICARE: DIONNE LESTER

MEDICARE: DIONNE LESTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1003183518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIONNE LESTER
Provider Business Mailing Address
First Line : 4675 WOODMERE LN
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-7017
Country : US
Telephone Number : 706-615-3290
Fax Number :
Provider Business Practice Location Address
First Line : 2100 COMER AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8725
Country : US
Telephone Number : 706-323-0174
Fax Number : 706-256-3264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2011
Last Update Date : 11/29/2011

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Directions to “ DIONNE LESTER ” Practice Location

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