Individual
DR. ROBERT B LESTAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
509 BON AMI ST, DERIDDER, LA 70634-4925
(337) 463-3272
Mailing address
509 BON AMI ST, DERIDDER, LA 70634-4925
(337) 463-3272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6041
LA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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