| Doctor Name: | MARK E LESTER |
| NPI Number: | 1285968263 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 5601005641 |
| Business Practice Address: | 8333 Felch St Zeeland, MI - 49464 |
| Business Phone Number: | 6167724644 |
| Business Fax Number: | 6167482828 |
| Mailing Address: | 100 Michigan St Ne, Mc845 GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495032560 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2009 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601005641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |