Provider Demographics
NPI:1760166029
Name:LISA LESTER, PLLC
Entity Type:Organization
Organization Name:LISA LESTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, SUDP
Authorized Official - Phone:509-919-8370
Mailing Address - Street 1:12402 N DIVISION ST # 154
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1930
Mailing Address - Country:US
Mailing Address - Phone:509-919-8370
Mailing Address - Fax:
Practice Address - Street 1:17122 N LITTLE SPOKANE DR
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9370
Practice Address - Country:US
Practice Address - Phone:509-919-8370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)