Individual
DR. MICHAEL L LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 W MAIN ST, COOKEVILLE, TN 38506-5323
(931) 537-6872
(931) 537-6635
Mailing address
660 W MAIN ST, COOKEVILLE, TN 38506-5323
(931) 537-6872
(931) 537-6635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13489
TN
207R00000X
Internal Medicine Physician
Primary
24977
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200088100A
—
OK
01
—
P00360674
MEDICARE RAILROAD CARRIER
OK
Enumeration date
07/03/2006
Last updated
11/30/2009
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