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Individual

NORMAN A LESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10401 HOSPITAL DR, SUITE G-4, CLINTON, MD 20735-3110
(301) 877-0891
(301) 856-0536
Mailing address
10403 HOSPITAL DR, SUITE G-4, CLINTON, MD 20735-3134
(301) 856-3019
(301) 856-9370

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0045647
MD
207Y00000X
Otolaryngology Physician
MD21781
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0W54TP
BLUE CROSS
01
624316
MEDICARE GROUP NUMBER FOR CLINTON ENT
DC
01
B776
BCBS GROUP NUMBER FOR CLINTON ENT
DC
Enumeration date
01/26/2007
Last updated
10/15/2010
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