Provider Demographics
NPI:1417957424
Name:PAUL, LESTER DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:DAVID
Last Name:PAUL
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 1:4 BATTERY WHARF
Mailing Address - Street 2:#4503
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-1099
Mailing Address - Country:US
Mailing Address - Phone:617-994-4872
Mailing Address - Fax:
Practice Address - Street 1:4 BATTERY WHARF
Practice Address - Street 2:#4503
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-1099
Practice Address - Country:US
Practice Address - Phone:617-994-4872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007645207R00000X
MA54047207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine