Provider Demographics
NPI:1043483571
Name:MORRIS, LESTER DICKINSON (VMD)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:DICKINSON
Last Name:MORRIS
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:L
Other - Middle Name:DICKINSON
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:VMD
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-0010
Mailing Address - Country:US
Mailing Address - Phone:201-956-3215
Mailing Address - Fax:
Practice Address - Street 1:205 BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423
Practice Address - Country:US
Practice Address - Phone:201-956-3215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100091500174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian