Individual
EDWARD LESTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 WINDSOR CT, ELKHART, IN 46514-5556
(574) 266-6555
Mailing address
29073 SERENITY LN, ELKHART, IN 46517-9032
(574) 226-1747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004776
IN
Other
Enumeration date
01/29/2014
Last updated
08/21/2014
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