Basic Information
Provider Information
NPI: 1942205471
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LESTER
FirstName: CHRISTINA
MiddleName: L
NamePrefix: MRS.
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 45 10TH ST W
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551021062
CountryCode: US
TelephoneNumber: 6512323348
FaxNumber:  
Practice Location
Address1: 45 10TH ST W
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551021062
CountryCode: US
TelephoneNumber: 6512323348
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2005
LastUpdateDate: 08/16/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X2376WIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XR183607-9MNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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