Individual
TERRY L LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-6130
(505) 913-5408
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5287
AK
207R00000X
Internal Medicine Physician
MD2010-0821
NM
208M00000X
Hospitalist Physician
5287
AK
208M00000X
Hospitalist Physician
Primary
MD2010-0821
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68879598
—
NM
05
—
MD5287
—
AK
Enumeration date
09/20/2006
Last updated
11/21/2023
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