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Individual

DR. LESTER G PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5644 BROOK RD, RICHMOND, VA 23227-2273
(804) 264-2956
(804) 264-0447
Mailing address
5644 BROOK RD, RICHMOND, VA 23227-2273
(804) 264-2956
(804) 264-0447

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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