Provider Demographics
NPI:1558575753
Name:LESTER, ERIC CECIL (MSW)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:CECIL
Last Name:LESTER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15242 S.W.297 TERR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3653
Mailing Address - Country:US
Mailing Address - Phone:305-242-9042
Mailing Address - Fax:
Practice Address - Street 1:9380 SW 72 ST. SUIET B-120
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5454
Practice Address - Country:US
Practice Address - Phone:305-274-2743
Practice Address - Fax:305-274-0841
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker