Individual
DR. LESTER JAY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
164439-1
NY
207W00000X
Ophthalmology Physician
Primary
MD050522L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014414760004
—
PA
05
—
01170983
—
NY
01
—
180040319
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
GU039847
PA MEDICARE GROUP
PA
01
—
P00173981
RR MEDICARE PIN
NY
Enumeration date
02/01/2006
Last updated
03/30/2021
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