Provider Demographics
NPI:1154740157
Name:LESTER, ANDROCLES JAY (MD)
Entity type:Individual
Prefix:
First Name:ANDROCLES
Middle Name:JAY
Last Name:LESTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:ESTER
Mailing Address - State:AK
Mailing Address - Zip Code:99725-0033
Mailing Address - Country:US
Mailing Address - Phone:505-288-6648
Mailing Address - Fax:505-288-6648
Practice Address - Street 1:1650 COWLES ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5907
Practice Address - Country:US
Practice Address - Phone:907-458-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2018-0108207L00000X
AK131049U207L00000X
NM390200000X
AK131049207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program