MEDICARE: RODERICK LESTER B.S.

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

General Provider Information

NPI Number	:	1750627162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODERICK LESTER B.S.

Provider Business Mailing Address
First Line	:	3184 LAUREL RIDGE CIR STE 104
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-1839
Country	:	US
Telephone Number	:	561-460-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	3184 LAUREL RIDGE CIR STE 104
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-1839
Country	:	US
Telephone Number	:	561-460-2280
Fax Number	:

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

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	10/14/2025

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