Individual
RYANE LEIGH LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 W 140TH ST, BURNSVILLE, MN 55337-4480
(952) 808-3000
(952) 808-3001
Mailing address
1000 W 140TH ST, BURNSVILLE, MN 55337-4480
(952) 808-3000
(952) 808-3001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538471065
—
MN
Enumeration date
07/13/2010
Last updated
05/11/2017
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