Jefferson, Lester Lee

Jefferson, Lester Lee is an sole proprietor health care provider with primary practice located at 1718 Sw Mockingbird Dr , Port Saint Lucie FL 34986-2045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jefferson, Lester Lee can be contacted via phone (772) 871-9161.

Contact Information

Primary practice address
1718 Sw Mockingbird Dr Port Saint Lucie FL 34986-2045
Fax:
Website:

Profile Details

NPI number 1588799241
LBN Legal business name Jefferson, Lester Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588799241 NPPES
Florida MEDICAID 3044688-00

Popular Providers