Individual
ALBERT EUGENE LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3091 GASTON AVE, SUITE B, MONTGOMERY, AL 36105
(334) 262-0331
(334) 262-2993
Mailing address
3091 GASTON AVE, SUITE B, MONTGOMERY, AL 36105
(334) 262-0331
(334) 262-2993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7282
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000003624
—
AL
01
—
03624
MEDICARE PROVIDER NUMBER
AL
01
—
406111978
STATE OF ALABAMA MEDICARE PROVIDER NUMBER
AL
Enumeration date
10/05/2006
Last updated
05/07/2013
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