Individual
DR. TRACY LEE MYLES LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
419 BROOKS ST, CHARLESTON, WV 25301-1811
(304) 388-5432
Mailing address
4164 BECKWITH RD, FAYETTEVILLE, WV 25840-5960
(304) 661-0971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NA
WV
Other
Enumeration date
07/20/2007
Last updated
06/10/2011
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