Provider Demographics
NPI:1932120094
Name:DUPLECHAN, LESTER SHERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:SHERMAN
Last Name:DUPLECHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 THOMAS MORE PKWY
Mailing Address - Street 2:STE 190
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5465
Mailing Address - Country:US
Mailing Address - Phone:859-344-2190
Mailing Address - Fax:859-331-3712
Practice Address - Street 1:350 THOMAS MORE PKWY
Practice Address - Street 2:STE 190
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5465
Practice Address - Country:US
Practice Address - Phone:859-344-2190
Practice Address - Fax:859-331-3712
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-075381208100000X
KY346622081P2900X, 208100000X
OH35.0753812081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64961568Medicaid
KYP00911876OtherRR MEDICARE
OH2095503Medicaid
OHP00366158OtherMEDICARE RAILROAD
KYP00911876OtherRR MEDICARE
OH0868094Medicare PIN
KYP400018974Medicare PIN
KYF46110Medicare UPIN
KY64961568Medicaid