Individual
MR. LESTER RAYMOND GUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
808 MAIN ST E, MENOMONIE, WI 54751-2735
(715) 232-1116
(715) 232-5987
Mailing address
E3886 850TH AVE, MENOMONIE, WI 54751-5854
(715) 643-6025
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
10/18/2012
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