Organization
ONCOLOGY CARE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POWELL LESTER MD (OWNER)
(269) 985-0029
Entity
Organization
Contact information
Practice address
820 LESTER AVE, 119, SAINT JOSEPH, MI 49085-2561
(269) 985-0029
(269) 985-0040
Mailing address
3380 LINCOLN AVE, SAINT JOSEPH, MI 49085-3703
(269) 985-0029
(269) 985-0040
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4177117
—
MI
01
—
CJ9788
RAILROAD MEDICARE GROUP #
MI
Enumeration date
07/09/2006
Last updated
11/08/2007
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