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Individual

LESTER J MASCOT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14501 TELEGRAPH RD, REDFORD, MI 48239
(313) 534-0300
(315) 534-6408
Mailing address
1800 W BIG BEAVER, SUITE 150, TROY, MI 48084
(248) 649-2323
(248) 649-5998

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LM049243
MI

Other

Enumeration date
06/09/2006
Last updated
07/08/2007
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