| Laureen A Lester | |
|
7921 Kingswood Dr Ste A3-i Citrus Heights CA 95610-7710 | |
| (916) 858-9346 | |
| Not Available |
| Full Name | Laureen A Lester |
|---|---|
| Speciality | Psychologist |
| Location | 7921 Kingswood Dr Ste A3-i, Citrus Heights, California |
| Authorized Official Name and Position | Laureen Lester (OWNER) |
| Authorized Official Contact | 9168589346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laureen A Lester 7921 Kingswood Dr Ste A3-i Citrus Heights CA 95610-7710 Ph: (916) 858-9346 | Laureen A Lester 7921 Kingswood Dr Ste A3-i Citrus Heights CA 95610-7710 Ph: (916) 858-9346 |
| NPI Number | 1063179745 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 9234521089 |
|---|---|
| Medicare Enrollment ID | O20220128000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063179745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Laureen A. Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255651329 PECOS PAC ID: 2365841772 Enrollment ID: I20210603003155 |
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