Individual
MR. LESTER LEE JEFFERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1718 SW MOCKINGBIRD DR, PORT SAINT LUCIE, FL 34986-2045
(772) 871-9161
Mailing address
1718 SW MOCKINGBIRD DR, PORT SAINT LUCIE, FL 34986-2045
(772) 871-9161
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
577707
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2971342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3044688-00
—
FL
Enumeration date
02/22/2007
Last updated
07/08/2007
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