Provider Demographics
NPI:1285867036
Name:LESTER, ADELE MARIE (ADULT NURSE PRACTITI)
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:MARIE
Last Name:LESTER
Suffix:
Gender:F
Credentials:ADULT NURSE PRACTITI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2168
Mailing Address - Country:US
Mailing Address - Phone:585-248-3305
Mailing Address - Fax:585-381-7285
Practice Address - Street 1:102 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2168
Practice Address - Country:US
Practice Address - Phone:585-248-3305
Practice Address - Fax:585-381-7285
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301079363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYML1186027OtherDEA