Provider Demographics
NPI:1518085844
Name:LESTER, ROBERT HUGH (MA, LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HUGH
Last Name:LESTER
Suffix:
Gender:M
Credentials:MA, LAT, ATC
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Mailing Address - Street 1:160 KIMEL FOREST DR
Mailing Address - Street 2:TRIAD NEUROSURGICAL ASSOCIATES
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6074
Mailing Address - Country:US
Mailing Address - Phone:336-768-5324
Mailing Address - Fax:336-765-7939
Practice Address - Street 1:160 KIMEL FOREST DR
Practice Address - Street 2:TRIAD NEUROSURGICAL ASSOCIATES
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6074
Practice Address - Country:US
Practice Address - Phone:336-768-5324
Practice Address - Fax:336-765-7939
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC01742255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer