Provider Demographics
NPI:1386868727
Name:LESTER, NATHAN LUTHER (DC)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:LUTHER
Last Name:LESTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 16TH AVE
Mailing Address - Street 2:306
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-1169
Mailing Address - Country:US
Mailing Address - Phone:515-779-3220
Mailing Address - Fax:
Practice Address - Street 1:215 WEST ST
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-2313
Practice Address - Country:US
Practice Address - Phone:641-236-1084
Practice Address - Fax:641-236-3558
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor