Provider Demographics
NPI:1255569182
Name:LESTER, BENISSE (MD)
Entity type:Individual
Prefix:DR
First Name:BENISSE
Middle Name:
Last Name:LESTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 N ST SW
Mailing Address - Street 2:#N301
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4605
Mailing Address - Country:US
Mailing Address - Phone:212-420-0423
Mailing Address - Fax:
Practice Address - Street 1:560 N ST SW
Practice Address - Street 2:#N301
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4605
Practice Address - Country:US
Practice Address - Phone:212-420-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162772207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery