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Individual

DR. KYLE MATTHEW LESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19415 DEERFIELD AVENUE, SUITE 112, LEESBURG, VA 20176
(703) 724-1195
Mailing address
224-D CORNWALL STREET, NW., SUITE 403, LEESBURG, VA 20176-1987
(703) 737-6010
(614) 944-4750

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0102207451
VA
208800000X
Urology Physician
34.014685
OH
208800000X
Urology Physician
OS15935
FL
390200000X
Student in an Organized Health Care Education/Training Program
OT015671
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225441660
VA
Enumeration date
06/03/2014
Last updated
08/02/2023
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