Doctor Name: | DR. CLARK COSTIGAN LESTER |
NPI Number: | 1104050871 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | University Of Kentucky And Affiliates 800 Rose St. Lexington, KY - 405360001 |
Business Phone Number: | 8593235871 |
Business Fax Number: | |
Mailing Address: | 245 Fountain Ct, LEXINGTON |
State: | KY |
Postal Code: | 405091200 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/11/2009 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |