Individual
LESTER RUSS REICHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 SAN JUAN AVE, SANTA CRUZ, CA 95062-1244
(831) 469-4053
(831) 426-1808
Mailing address
310 SAN JUAN AVE, SANTA CRUZ, CA 95062-1244
(831) 469-4053
(831) 426-1808
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GFE36336
CA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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