Individual
DR. JONATHAN D LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 370, MILWAUKEE, WI 53215-3678
(414) 649-7900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
67652
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070727
—
WI
05
—
1659660793
—
NC
05
—
NC2674
—
SC
Enumeration date
03/29/2011
Last updated
12/06/2023
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