MEDICARE: UNCLE LESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1023741931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNCLE LESTER

Provider Business Mailing Address
First Line	:	3562 HARVEY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2512
Country	:	US
Telephone Number	:	513-884-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3562 HARVEY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2512
Country	:	US
Telephone Number	:	513-884-1577
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LESTER D WILLIAMS
Credential	:
Telephone Number	:	513-884-1577

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	07/22/2022

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Directions to “UNCLE LESTER ” Practice Location

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