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NPI Code Detail

MEDICARE: MRS. DIANE EILEEN LESTER LMFT

MEDICARE: MRS. DIANE EILEEN LESTER LMFT
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
1106H00000XMarriage & Family Therapist0000000685TN

General Provider Information

NPI Number : 1053656066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE EILEEN LESTER LMFT
Provider Business Mailing Address
First Line : 1009 N THOMPSON LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-4351
Country : US
Telephone Number : 615-848-5860
Fax Number : 615-848-5889
Provider Business Practice Location Address
First Line : 1009 N THOMPSON LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-4351
Country : US
Telephone Number : 615-848-5860
Fax Number : 615-848-5889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2012
Last Update Date : 12/02/2012

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