Provider Demographics
NPI:1154667558
Name:LESTER, ARTHUR HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:HERBERT
Last Name:LESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 WAGONWHEEL RD
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-7304
Mailing Address - Country:US
Mailing Address - Phone:850-862-6158
Mailing Address - Fax:850-862-6609
Practice Address - Street 1:813 WAGONWHEEL RD
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-7304
Practice Address - Country:US
Practice Address - Phone:850-862-6158
Practice Address - Fax:850-862-6609
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0020174209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes209800000XAllopathic & Osteopathic PhysiciansLegal Medicine