Individual
MR. RYAN DOUGLAS LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4611 GUADALUPE STREET, SUITE 200, AUSTIN, TX 78704
(512) 476-2830
Mailing address
4611 GUADALUPE STREET, SUITE 200, AUSTIN, TX 78704
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03332276
—
NY
Enumeration date
09/25/2009
Last updated
09/11/2012
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