Individual
GEORGE EDWARD LESTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 OFFICIAL PLZ, MADISON, WV 25130-1161
(304) 877-8629
Mailing address
1 OFFICIAL PLZ, MADISON, WV 25130-1161
(304) 877-8629
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-9107
WV
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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