Individual
LESTER COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.P.
Contact information
Practice address
6120-B WOODLAND AVENUE, 2ND FLOOR, PHILADELPHIA, PA 19142
(215) 727-4721
Mailing address
4700 WISSAHICKON AVE, SUITE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3600
(267) 597-3622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP001023B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011451120005
—
PA
Enumeration date
05/27/2005
Last updated
04/28/2010
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