Provider Demographics
NPI:1508824798
Name:LITTELL, LESTER FAY III (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:FAY
Last Name:LITTELL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86144
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36689-6144
Mailing Address - Country:US
Mailing Address - Phone:251-476-5050
Mailing Address - Fax:251-450-2770
Practice Address - Street 1:161 W PEACHTREE AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2239
Practice Address - Country:US
Practice Address - Phone:251-970-1090
Practice Address - Fax:251-970-1098
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00009416207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051501803Medicaid
AL51540556OtherBCBS AL
AL009942448Medicaid
AL051501803OtherBCBS
200042012OtherRAILROAD MEDICARE
AL051558809Medicare PIN
200042012OtherRAILROAD MEDICARE
AL009942448Medicaid