Individual
LESTER MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064540
PA
Other
Enumeration date
05/11/2023
Last updated
03/13/2024
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