Provider Demographics
NPI:1013152891
Name:LESTER, GILLIAN M (RN)
Entity Type:Individual
Prefix:MISS
First Name:GILLIAN
Middle Name:M
Last Name:LESTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 SECLUSION PT APT F
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7962
Mailing Address - Country:US
Mailing Address - Phone:719-434-8891
Mailing Address - Fax:
Practice Address - Street 1:1785 SECLUSION PT APT F
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7962
Practice Address - Country:US
Practice Address - Phone:719-434-8891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO186416163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse