MEDICARE: DR. ANDREW M LESTER PH.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	103TC0700X	Clinical Psychologist	35S100139500	NJ

General Provider Information

NPI Number	:	1528165545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW M LESTER PH.D.

Provider Business Mailing Address
First Line	:	1009 LENOX DRIVE
Second Line	:	STE 101, PMB#0001
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2321
Country	:	US
Telephone Number	:	215-275-6492
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 LENOX DRIVE
Second Line	:	SUITE 101, PMB #0001
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2321
Country	:	US
Telephone Number	:	215-275-4929
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/14/2026

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