Individual
MARY ANN LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
365 COURTHOUSE RD, PRINCETON, WV 24740-2431
(304) 425-3922
(304) 487-0229
Mailing address
365 COURTHOUSE RD, PRINCETON, WV 24740-2431
(304) 425-3922
(304) 487-0229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
606
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606
STATE LICENSE
WV
Enumeration date
08/07/2013
Last updated
08/07/2013
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