MEDICARE: DR. ARTHUR HERBERT LESTER M.D.

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	209800000X	Legal Medicine (M.D./D.O.) Physician	ME0020174	FL

General Provider Information

NPI Number	:	1154667558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR HERBERT LESTER M.D.

Provider Business Mailing Address
First Line	:	813 WAGONWHEEL RD
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-7304
Country	:	US
Telephone Number	:	850-862-6158
Fax Number	:	850-862-6609

Provider Business Practice Location Address
First Line	:	813 WAGONWHEEL RD
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-7304
Country	:	US
Telephone Number	:	850-862-6158
Fax Number	:	850-862-6609

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

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	12/13/2012

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