Provider Demographics
NPI:1013971076
Name:LESTER, LAURA DELLINGER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:DELLINGER
Last Name:LESTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:DELLINGER
Other - Last Name:HUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1581 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4317
Mailing Address - Country:US
Mailing Address - Phone:276-783-7284
Mailing Address - Fax:800-636-7002
Practice Address - Street 1:1581 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4317
Practice Address - Country:US
Practice Address - Phone:276-783-7284
Practice Address - Fax:800-636-7002
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008514798Medicaid