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MEREDYTHE A LESTER LAC

Addiction Substance Use Disorder

Minot, North Dakota

Provider NPI: 1174559637

Provider Information:
 MEREDYTHE A LESTER LAC
Gender: F
Not Sole Proprietor

Practice Location:
407 3RD ST SE  MINOT, ND 58701 US
Tel: 701-857-2480  Fax: 701-857-3692

Business Mailing Address:
PO BOX 5010  MINOT, ND 58702 US
Tel: 701-857-5650  Fax: 701-857-5031

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
ND1389

Other Provider Identifiers:

IssuerNumberStateType
054517ND05
BCBS ND PIN013534ND01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS ND - Page 1



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