Provider Demographics
NPI:1295797561
Name:LESTER, THOMPSON III (P-LSCW)
Entity type:Individual
Prefix:MR
First Name:THOMPSON
Middle Name:
Last Name:LESTER
Suffix:III
Gender:M
Credentials:P-LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8826 TOUCHSTONE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-2646
Mailing Address - Country:US
Mailing Address - Phone:704-638-9000
Mailing Address - Fax:704-647-1821
Practice Address - Street 1:8826 TOUCHSTONE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-2646
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:704-647-1821
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0028451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical