MEDICARE: DAVID LESTER LCSW

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	1041C0700X	Clinical Social Worker	014110	TX

General Provider Information

NPI Number	:	1356464259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LESTER LCSW

Provider Business Mailing Address
First Line	:	1618 SAM HOUSTON ST
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1618 SAM HOUSTON ST
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8143
Country	:	US
Telephone Number	:	956-428-8581
Fax Number	:

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

Provider Enumeration Date	:	04/08/2007
Last Update Date	:	07/08/2007

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