| Name: | Albert E. Lester, M.D., P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Exists |
| Date of registration: | 28 Feb 1978 (47 years ago) |
| Entity Number: | 000-050-108 |
| Register Number: | 000050108 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 3091 GASTON AVENUEMONTGOMERY, AL 36108 |
| Principal Address ZIP Code: | 36108 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548605389 | 2013-05-07 | 2013-05-07 | 3091 GASTON AVE STE B, MONTGOMERY, AL, 361051541, US | 3091 GASTON AVE STE B, MONTGOMERY, AL, 361051541, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 334-262-0331 |
| Fax | 3342622993 |
Authorized person
| Name | ALBERT LESTER |
| Role | OWNER |
| Phone | 3342620331 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 7282 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000003624 |
| State | AL |
| Issuer | STATE OF ALABAMA MEDICARE PROVIDER NUMBER |
| Number | 406111978 |
| State | AL |
| Issuer | MEDICARE PROVIDER NUMBER |
| Number | 03624 |
| State | AL |
| Name | Role |
|---|---|
| LESTER, ALBERT E | Member |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
