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NPI Code Detail

MEDICARE: DR. JOHN LESTER BURSTON MD

MEDICARE: DR. JOHN LESTER BURSTON MD
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
1207L00000XAnesthesiology PhysicianF524CA

General Provider Information

NPI Number : 1811497084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LESTER BURSTON MD
Provider Business Mailing Address
First Line : 2124 CARAVAGGIO DR
Second Line :
City : DAVIS
State : CA
Zip : 95618-7650
Country : US
Telephone Number : 530-204-7633
Fax Number :
Provider Business Practice Location Address
First Line : 3315 WATT AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-3600
Country : US
Telephone Number : 916-481-6800
Fax Number : 916-481-1881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2018
Last Update Date : 01/22/2026

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Directions to “ DR. JOHN LESTER BURSTON MD” Practice Location

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