Provider Demographics
NPI:1407857212
Name:NAVE, LESTER DAVID JR (MD)
Entity Type:Individual
Prefix:
First Name:LESTER
Middle Name:DAVID
Last Name:NAVE
Suffix:JR
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 1:205 PAGE RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8749
Mailing Address - Country:US
Mailing Address - Phone:910-295-5511
Mailing Address - Fax:
Practice Address - Street 1:555 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4104
Practice Address - Country:US
Practice Address - Phone:919-774-6518
Practice Address - Fax:919-774-1831
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FH1100090OtherFIRSTCAROLINACARE
NC61901OtherBC/BS
P00835609OtherPALMETTO GBA RAILROAD MEDICARE
NC0138727OtherUNITED HEALTHCARE
NC8961901Medicaid
NC28595OtherMEDCOST
NC0138727OtherUNITED HEALTHCARE
NC209126Medicare ID - Type Unspecified
209126AMedicare PIN