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Individual

LESTER OWENS

Active
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Individual

LESTER OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25566-21
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25566
WI

Other

Enumeration date
08/16/2006
Last updated
03/07/2023
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