MEDICARE: SHAYLA LESTER MD

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	207R00000X	Internal Medicine Physician	4301096136	MI
2	208000000X	Pediatrics Physician	4301096136	MI
3	207R00000X	Internal Medicine Physician	35.124333	OH
4	208000000X	Pediatrics Physician	35.124333	OH

General Provider Information

NPI Number	:	1225359656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAYLA LESTER MD

Provider Business Mailing Address
First Line	:	5500 LANCASTER DR
Second Line	:
City	:	BROOKLYN HTS
State	:	OH
Zip	:	44131-1834
Country	:	US
Telephone Number	:	216-691-8600
Fax Number	:	216-691-8605

Provider Business Practice Location Address
First Line	:	5500 LANCASTER DR
Second Line	:
City	:	BROOKLYN HTS
State	:	OH
Zip	:	44131-1834
Country	:	US
Telephone Number	:	216-691-8600
Fax Number	:	216-691-8605

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	08/10/2015

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Directions to “ SHAYLA LESTER MD” Practice Location

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