Individual
DR. PATRICK DAVID LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1761 N ASPEN AVE, BROKEN ARROW, OK 74012-1197
(918) 496-5000
(917) 496-5263
Mailing address
1761 N ASPEN AVE, BROKEN ARROW, OK 74012-1197
(918) 496-5000
(917) 496-5263
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8530
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14483672064
—
OK
01
—
3000074003
RAILROAD MEDICARE-CHERRY
OK
01
—
300074002
RAILROAD MEDICARE-AIRCO
OK
Enumeration date
10/24/2006
Last updated
09/21/2010
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