Individual
EDWARD LESTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 NAVARRE PL STE 5500, SOUTH BEND, IN 46601-1172
(574) 647-5200
(574) 647-5210
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004776
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300099721
—
IN
Enumeration date
01/29/2014
Last updated
05/19/2026
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