Provider Demographics
NPI:1467568550
Name:LESTER, DON KEVIN (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:KEVIN
Last Name:LESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6085 N FIRST ST #101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5465
Mailing Address - Country:US
Mailing Address - Phone:559-431-2332
Mailing Address - Fax:559-431-3784
Practice Address - Street 1:6085 N FIRST ST #101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5465
Practice Address - Country:US
Practice Address - Phone:559-431-2332
Practice Address - Fax:559-431-3784
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG44984207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G449840Medicaid
A49834Medicare UPIN
CA00G449840Medicare ID - Type Unspecified