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NPI Code Detail

MEDICARE: MS. KARLA LURELL LESTER PA-C

MEDICARE: MS. KARLA LURELL LESTER PA-C
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
1363AM0700XMedical Physician Assistant0110001324VA
2363AM0700XMedical Physician Assistant1301SC
3363AM0700XMedical Physician Assistant0010-00487NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12766647OTHERNCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689612152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARLA LURELL LESTER PA-C
Provider Business Mailing Address
First Line : 4 WOOLRIDGE WAY
Second Line :
City : GREER
State : SC
Zip : 29650-2589
Country : US
Telephone Number : 828-551-2004
Fax Number : 864-295-2506
Provider Business Practice Location Address
First Line : 10701 ANDERSON RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-9309
Country : US
Telephone Number : 864-295-2505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 05/07/2012

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