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Individual

DR. LESTER G PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000231
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
279166
ANT;HEM BLUE CROSS
VA
01
35004
DAVIS VISION
VA
05
9232613
VA
Enumeration date
09/01/2006
Last updated
05/13/2013
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