Healthcare Provider Details

I. General information

NPI: 1467463992
Provider Name (Legal Business Name): LESTER MICHAEL MILES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE SUITE 306
WASHINGTON DC
20017-2107
US

IV. Provider business mailing address

1160 VARNUM ST NE SUITE 306
WASHINGTON DC
20017-2107
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-2011
  • Fax: 202-269-2013
Mailing address:
  • Phone: 202-269-2011
  • Fax: 202-269-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD0026024
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: