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NPI Code Detail

MEDICARE: MS. LINDA JEAN LESTER M.S.W.

MEDICARE:  MS. LINDA JEAN LESTER  M.S.W.
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
11041C0700XClinical Social WorkerLCSW 415ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912922139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA JEAN LESTER M.S.W.
Provider Business Mailing Address
First Line : 7154 W STATE ST
Second Line : #389
City : BOISE
State : ID
Zip : 83714-7421
Country : US
Telephone Number : 208-853-5095
Fax Number : 208-853-5125
Provider Business Practice Location Address
First Line : 5999 W STATE ST
Second Line : STE B
City : BOISE
State : ID
Zip : 83703-3039
Country : US
Telephone Number : 208-853-5095
Fax Number : 208-853-5125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LINDA JEAN LESTER M.S.W.” Practice Location

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