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Individual
MR. LESTER DARRELL LEGGETTE
Active
Individual
MR. LESTER DARRELL LEGGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
001796
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01780683
AMERIGROUP
GA
05
—
100001416B
—
GA
05
—
100001416C
—
GA
05
—
100001416D
—
GA
05
—
100001416E
—
GA
05
—
100001416F
—
GA
01
—
362514
WELLCARE
GA
01
—
580628385
TRICARE
GA
Enumeration date
11/02/2005
Last updated
06/04/2013
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