| Edward Lester Krager | |
|
510 S Fairmont Ave Ste 1 Lodi CA 95240-3800 | |
| (209) 271-3595 | |
| Not Available |
| Full Name | Edward Lester Krager |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 510 S Fairmont Ave Ste 1, Lodi, California |
| Authorized Official Name and Position | Edward Krager (OWNER) |
| Authorized Official Contact | 2092713595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Lester Krager 2617 Birch Ave Stockton CA 95207-1312 Ph: (209) 271-3595 | Edward Lester Krager 510 S Fairmont Ave Ste 1 Lodi CA 95240-3800 Ph: (209) 271-3595 |
| NPI Number | 1598307969 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 10/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598307969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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