MEDICARE: VIRGINIA S LESTER S.W.

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	104100000X	Social Worker	S.0020851	OH

General Provider Information

NPI Number	:	1124255187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA S LESTER S.W.

Provider Business Mailing Address
First Line	:	3737 LANDER RD
Second Line	:
City	:	PEPPER PIKE
State	:	OH
Zip	:	44124-5712
Country	:	US
Telephone Number	:	216-831-2255
Fax Number	:	216-378-3906

Provider Business Practice Location Address
First Line	:	12608 STATE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44133-3208
Country	:	US
Telephone Number	:	440-230-1960
Fax Number	:	440-230-1965

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

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	05/19/2010

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Directions to “ VIRGINIA S LESTER S.W.” Practice Location

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