Provider Demographics
NPI:1255651329
Name:LESTER, LAUREEN A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LAUREEN
Middle Name:A
Last Name:LESTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23913 MARK TWAIN
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-4906
Mailing Address - Country:US
Mailing Address - Phone:916-893-3097
Mailing Address - Fax:
Practice Address - Street 1:2020 IOWA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0520
Practice Address - Country:US
Practice Address - Phone:951-235-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist