Individual
LISA G LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
7025 N WICKHAM RD, SUITE 112, MELBOURNE, FL 32940-7534
(321) 242-1046
(321) 253-3119
Mailing address
4475 DELESPINE RD, COCOA, FL 32927-3513
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT12272
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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