MEDICARE: DR. JULIE KAI LESTER D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	5901002218	MI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	1869	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6452180001	OTHER	TX	DMEPOS PTAN

General Provider Information

NPI Number	:	1295909182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE KAI LESTER D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 422158
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-4358
Country	:	US
Telephone Number	:	713-234-7057
Fax Number	:	713-272-7202

Provider Business Practice Location Address
First Line	:	7505 FANNIN ST STE 211
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1953
Country	:	US
Telephone Number	:	713-234-7057
Fax Number	:	713-272-7202

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	11/08/2019

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