Individual
GEORGE W LESTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC, RNFA
Contact information
Practice address
1235 N MULFORD RD STE 103, ROCKFORD, IL 61107-3879
(815) 636-0700
Mailing address
1235 N MULFORD RD STE 103, ROCKFORD, IL 61107-3879
(815) 636-0700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-341955
IL
363L00000X
Nurse Practitioner
Primary
209.024822
IL
Other
Enumeration date
10/08/2008
Last updated
04/11/2022
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