Individual
LESTER L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4220 HARDING PIKE, S& E BUILDING SUITE 200, NASHVILLE, TN 37205-2005
(615) 385-3751
(615) 269-7085
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
11294
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151471
BCBS OF TN
—
05
—
3185115
—
TN
01
—
4066773
AETNA
—
05
—
64776867
—
KY
01
—
900003212
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
06/10/2015
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