Individual
MRS. ELIZABETH LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
7500 VASSAR RD, GRAND BLANC, MI 48439-7417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704261037
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704261037
MI
Other
Enumeration date
08/25/2014
Last updated
03/07/2017
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