Healthcare Provider Details

I. General information

NPI: 1144294950
Provider Name (Legal Business Name): LESTER ANDREW HUFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6073 ARLINGTON BLVD
FALLS CHURCH VA
22044-2721
US

IV. Provider business mailing address

4641 BLAGDEN TER NW
WASHINGTON DC
20011-3717
US

V. Phone/Fax

Practice location:
  • Phone: 202-683-7818
  • Fax:
Mailing address:
  • Phone: 202-683-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301055109
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101245068
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: