Provider Demographics
NPI:1770685331
Name:SWARTWOOD, LESTER DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:DAVID
Last Name:SWARTWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:L.
Other - Middle Name:DAVID
Other - Last Name:SWARTWOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4000 CENTRAL AVE NE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-2968
Mailing Address - Country:US
Mailing Address - Phone:763-572-5710
Mailing Address - Fax:763-782-8100
Practice Address - Street 1:4000 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-2968
Practice Address - Country:US
Practice Address - Phone:763-572-5710
Practice Address - Fax:763-782-8100
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN25402207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN370705900Medicaid
MN0403899OtherMEDICA
MN1000896OtherPREFERRED ONE
MN107322OtherUCARE MN
MN22530OtherAMERICA'S PPO
MN6607196OtherMEDICA URGENT CARE
MNHP19922OtherHEALTHPARTNERS
MN09F06SWOtherBCBS OF MN
MN4125367OtherAETNA INS
MN22530OtherAMERICA'S PPO
MN6607196OtherMEDICA URGENT CARE
MNB57005Medicare UPIN