Basic Information
| Provider Information | |||||||||
| NPI: | 1275202889 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LESTER-WILLIAMS | ||||||||
| FirstName: | MARSHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5907 | ||||||||
| Address2: | |||||||||
| City: | ALAMO | ||||||||
| State: | NM | ||||||||
| PostalCode: | 878255907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5758542626 | ||||||||
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| Practice Location | |||||||||
| Address1: | 920 W BROADWAY ST | ||||||||
| Address2: | |||||||||
| City: | HOBBS | ||||||||
| State: | NM | ||||||||
| PostalCode: | 882405529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5753933168 | ||||||||
| FaxNumber: | 5753974659 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2021 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 64855 | NM | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.