Individual
MS. KARLA LURELL LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10701 ANDERSON RD, EASLEY, SC 29642-9309
(864) 295-2505
Mailing address
4 WOOLRIDGE WAY, GREER, SC 29650-2589
(828) 551-2004
(864) 295-2506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-00487
NC
363AM0700X
Medical Physician Assistant
0110001324
VA
363AM0700X
Medical Physician Assistant
Primary
1301
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010105251
—
VA
01
—
0707PA
MEDICAID SC
SC
01
—
2766647
MEDICARE
NC
Enumeration date
06/04/2006
Last updated
05/07/2012
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