Healthcare Provider Details

I. General information

NPI: 1790106896
Provider Name (Legal Business Name): NIGEL CHRISTOPHER LESTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4940 CHILDRENS PL ROOM 3308
SAINT LOUIS MO
63110-1000
US

IV. Provider business mailing address

660 S EUCLID AVE C B 8134
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-1700
  • Fax: 314-286-1799
Mailing address:
  • Phone: 314-362-7005
  • Fax: 314-286-1799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2013021794
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: