Individual
MRS. DONNA RAE LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5927 SPRING ST, RACINE, WI 53406-2815
(262) 886-4801
Mailing address
5927 SPRING ST, RACINE, WI 53406-2815
(262) 886-4801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11133-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38228700
—
WI
Enumeration date
12/19/2006
Last updated
07/09/2007
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