Provider Demographics
NPI:1205837556
Name:WEBB, LESTER EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:EUGENE
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1320 N MICHIGAN AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4751
Mailing Address - Country:US
Mailing Address - Phone:989-754-5118
Mailing Address - Fax:989-754-3760
Practice Address - Street 1:1320 N MICHIGAN AVE
Practice Address - Street 2:STE 5
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4751
Practice Address - Country:US
Practice Address - Phone:989-754-5118
Practice Address - Fax:989-754-3760
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301 027750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0895001OtherHEALTHPLUS OF MICHIGAN
MI1048555Medicaid
MI0807395001OtherBLUE CROSS BLUE SHIELD MI
MI0895001OtherHEALTHPLUS OF MICHIGAN
B46916Medicare UPIN