Provider Demographics
NPI:1053615500
Name:LESTER, BARRI J (DOM)
Entity type:Individual
Prefix:MS
First Name:BARRI
Middle Name:J
Last Name:LESTER
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5676
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87502-5676
Mailing Address - Country:US
Mailing Address - Phone:505-231-8065
Mailing Address - Fax:
Practice Address - Street 1:1500 5TH ST STE 12
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3480
Practice Address - Country:US
Practice Address - Phone:505-231-8065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-26
Last Update Date:2010-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1043171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist