Healthcare Provider Details

I. General information

NPI: 1366347510
Provider Name (Legal Business Name): ELIZABETH L LESTER HA.61589940
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 NW BUCKLIN HILL RD UNIT 103
SILVERDALE WA
98383-8370
US

IV. Provider business mailing address

12506 118TH AVE NW
GIG HARBOR WA
98329-5765
US

V. Phone/Fax

Practice location:
  • Phone: 360-307-8570
  • Fax: 360-979-4388
Mailing address:
  • Phone: 360-307-8570
  • Fax: 360-979-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA.61589940
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: