# MR. LESTER DARRELL LEGGETTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871584417
- **Gender:** Man
- **Credential:** PA-AA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 001796 | GA | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 06/04/2013

## 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 |