Individual
LESTER DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3707 CHAMBERLAIN LN STE 101, LOUISVILLE, KY 40241-2091
(502) 426-9200
Mailing address
3707 CHAMBERLAIN LN STE 101, LOUISVILLE, KY 40241-2091
(502) 426-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA080
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000499232
ANTHEM FACETS PIN
KY
05
—
95006227
—
KY
Enumeration date
09/14/2006
Last updated
05/23/2012
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