Provider Demographics
NPI:1477200434
Name:ESTER, MEAGAN LUTICIA (LVN)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:LUTICIA
Last Name:ESTER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:LUTICIA
Other - Last Name:CRAVY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:7605 FRANKLIN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-9507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7605 FRANKLIN LAKE RD
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-9507
Practice Address - Country:US
Practice Address - Phone:409-499-1570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015551164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse