Provider Demographics
NPI:1780637439
Name:LESTER, SUSAN CAROLE (MD PHD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:CAROLE
Last Name:LESTER
Suffix:
Gender:F
Credentials:MD PHD
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Other - Last Name:
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Mailing Address - Street 1:75 FRANCIS STREET AMORY 3
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF PATHOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-7510
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET AMORY 3
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF PATHOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75714207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology