Individual
DR. MARY ELIZABETH LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 N SENATE BLVD MPC2, STE 3550, INDIANAPOLIS, IN 46202-5112
(317) 944-3636
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME100978
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
28125
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000078500
—
FL
Enumeration date
10/23/2006
Last updated
12/30/2020
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