Individual
DR. LESTER N HAUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2416 LYNNDALE RD, SUITE 110, FERNANDINA BEACH, FL 32034-5252
(941) 752-1900
(941) 752-1905
Mailing address
1790 GARDENIA ST, FERNANDINA BEACH, FL 32034-1980
(941) 752-1900
(941) 752-1905
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
ME78635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58706
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/12/2005
Last updated
03/10/2008
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