Individual
DIANA LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12243 S 73RD CT, PALOS HEIGHTS, IL 60463-1327
(708) 710-0526
Mailing address
12243 S 73RD CT, PALOS HEIGHTS, IL 60463-1327
(708) 710-0526
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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