Provider Demographics
NPI:1063179745
Name:LAUREEN A LESTER
Entity type:Organization
Organization Name:LAUREEN A LESTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:916-858-9346
Mailing Address - Street 1:8861 WILLIAMSON DR STE 20
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-1878
Mailing Address - Country:US
Mailing Address - Phone:916-858-9346
Mailing Address - Fax:
Practice Address - Street 1:8861 WILLIAMSON DR STE 20
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-1878
Practice Address - Country:US
Practice Address - Phone:916-858-9346
Practice Address - Fax:916-200-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty