Individual
LESTER LAWRENCE BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
320 MARKET ST, DENTON, MD 21629-1039
(410) 479-0500
(410) 479-0877
Mailing address
PO BOX 276, DENTON, MD 21629-0276
(410) 479-2546
(410) 479-0877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MDTA0577
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036304
DAVIS VISION
MD
05
—
800902300
—
MD
01
—
900625
BLOCK VISION
MD
01
—
BB06650
SPECTERA
MD
01
—
X075LE
CAREFIRST BCBS
MD
Enumeration date
12/13/2005
Last updated
04/23/2008
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