Individual
DR. LESTER S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
0101230493
VA
2085N0904X
Nuclear Radiology Physician
0101230493
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101230493
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139178
BCBS
VA
01
—
300116467
RR MEDICARE
VA
01
—
35289
SENTARA
VA
05
—
7235348
—
VA
05
—
89064PJ
—
NC
Enumeration date
12/19/2005
Last updated
02/07/2014
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