Individual
JENNIFER LESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-3000
Mailing address
500 HARVARD STREET NE, MINNEAPOLIS, MN 55455-0363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 185712-6
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
100376
MN
Other
Enumeration date
11/05/2013
Last updated
03/19/2014
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