Provider Demographics
NPI:1801113071
Name:LESTER S DUPLECHAN MD PLLC
Entity type:Organization
Organization Name:LESTER S DUPLECHAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUPLECHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-341-4842
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:859-341-4842
Mailing Address - Fax:513-793-1032
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:859-341-4842
Practice Address - Fax:859-341-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3074944Medicaid
KYDR2194OtherRR MEDICARE
OH9389241Medicare PIN
KYDR2194OtherRR MEDICARE