Individual
LESTER DORNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3290 VILLAGE DR, MIDDLETOWN, OH 45005
(513) 622-7703
(513) 424-7704
Mailing address
3290 VILLAGE DR, MIDDLETOWN, OH 45005
(513) 622-7703
(513) 424-7704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35058512D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246117
UNICARE
OH
01
—
108085
NATIONWIDE HEALTH PLAN
OH
05
—
2356856
—
OH
01
—
35058512D
MEDICAL LICENSE
OH
01
—
452360001
CARESOURCE
OH
01
—
7550431
AETNA
OH
01
—
D5851201
HUMANA/CHOICECARE
OH
01
—
P00004510
RAILROAD MEDICARE
OH
Enumeration date
05/30/2005
Last updated
09/01/2009
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