Individual
KEITH G LESTEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8800
(701) 234-8995
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8800
(701) 234-8995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4575
ND
Other
Enumeration date
07/17/2006
Last updated
11/28/2011
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