Provider Demographics
NPI:1821029018
Name:LESTER, JOSEPH LANCELOT III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LANCELOT
Last Name:LESTER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:180 JFK DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6607
Mailing Address - Country:US
Mailing Address - Phone:561-548-4900
Mailing Address - Fax:561-434-5158
Practice Address - Street 1:180 JFK DR
Practice Address - Street 2:SUITE 320
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6607
Practice Address - Country:US
Practice Address - Phone:561-548-4900
Practice Address - Fax:561-434-5158
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-06-19
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Provider Licenses
StateLicense IDTaxonomies
FLME014556208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280131100Medicaid
FL068614000Medicaid
FL91730XMedicare PIN
FLD79874Medicare UPIN
FL91730YMedicare PIN