Proctor, Lester T

Proctor, Lester T is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Anesthesiology, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Proctor, Lester T can be contacted via phone (414) 266-3560.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Anesthesiology Milwaukee WI 53226-4874
Phone: (414) 266-3560
Fax: (414) 266-6092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28418 Wisconsin

Profile Details

NPI number 1710953856
LBN Legal business name Proctor, Lester T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710953856 NPPES
Wisconsin MEDICAID 1710953856

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