Provider Demographics
NPI:1568983450
Name:LESTER, KIRBEE ELIZABETH (MA)
Entity Type:Individual
Prefix:
First Name:KIRBEE
Middle Name:ELIZABETH
Last Name:LESTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5167 ETTA ST UNIT 9C
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-4988
Mailing Address - Country:US
Mailing Address - Phone:870-833-2140
Mailing Address - Fax:
Practice Address - Street 1:5167 ETTA ST UNIT 9C
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-4988
Practice Address - Country:US
Practice Address - Phone:870-833-2140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7861235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist