Healthcare Provider Details

I. General information

NPI: 1275689945
Provider Name (Legal Business Name): NORMAN A LESTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 HOSPITAL DR SUITE G-4
CLINTON MD
20735-3110
US

IV. Provider business mailing address

10403 HOSPITAL DR SUITE G-4
CLINTON MD
20735-3134
US

V. Phone/Fax

Practice location:
  • Phone: 301-877-0891
  • Fax: 301-856-0536
Mailing address:
  • Phone: 301-856-3019
  • Fax: 301-856-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD0045647
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD21781
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: