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NPI Code Detail

MEDICARE: LESTER LEE

MEDICARE: LESTER LEE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1508232570
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESTER LEE
Provider Business Mailing Address
First Line : 6502 ELBROOK AVE APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4349
Country : US
Telephone Number : 513-401-8953
Fax Number :
Provider Business Practice Location Address
First Line : 6502 ELBROOK AVE APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4349
Country : US
Telephone Number : 513-401-8953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 06/21/2024

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Directions to “ LESTER LEE ” Practice Location

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