Individual
LESTER S. SHOAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BOYLSTON ST STE 101, CHESTNUT HILL, MA 02467-2032
(617) 278-8640
(617) 278-8650
Mailing address
200 BOYLSTON ST STE 101, CHESTNUT HILL, MA 02467-2032
(617) 278-8640
(617) 278-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47018
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128163
—
MA
Enumeration date
03/14/2006
Last updated
06/09/2023
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