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General NPI Number Information
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NPI Number | 1144460643
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Entity Type | Organization
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Legal Business Name | FOLASHADE LESTER, M.D. PA
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 3801 W 15TH ST 350-B
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-867-9300
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Fax | 972-867-1700
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Provider Business Mailing Address
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Address Line | 3801 W 15TH ST 350-B
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-867-9300
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Fax | 972-867-1700
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MRS. FOLASHADE F LESTER
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Credential | M.D.
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Telephone | 972-867-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L2985
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License Number State | TX
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