person
Mr. Mark E. Lester, PT
Military Health Care Provider in Fort Drum, New York
NPI 1982685764

Mark E. Lester is a Military Health Care Provider based in Natick, NY. Mark E. Lester practices in Fort Drum, NY and has the professional credentials of PT. The NPI Number for Mark E. Lester is 1982685764 and holds a License No. 05007896A (New York).

The current practice location address for Mark E. Lester is 11050 Mount Belvedere Blvd, Fort Drum, NY and can be reached out via phone at 315-772-4025 and via fax at 315-772-9498.

Location: 11050 Mount Belvedere Blvd, Fort Drum, NY, 01760-2610
person
Provider Profile Details
NPI Number
1982685764
Provider Name
Mark E. Lester
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
11050 Mount Belvedere Blvd, Fort Drum, NY, 01760-2610
Phone Number
315-772-4025
Fax Number
315-772-9498
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11050 Mount Belvedere Blvd
City
State
Zip
13602-5438
Phone Number
315-772-4025
Fax Number
315-772-9498
person
Provider Business Mailing Address Details
Address
11050 Mount Belvedere Blvd
City
State
Zip
13602-5438
Phone Number
315-772-4025
Fax Number
315-772-9498
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
05007896A (Indiana)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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