Provider Demographics
NPI:1700482064
Name:FISHEL, LESTER JONATHAN
Entity Type:Individual
Prefix:
First Name:LESTER
Middle Name:JONATHAN
Last Name:FISHEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 TAYLOR DR APT 11
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6338
Mailing Address - Country:US
Mailing Address - Phone:540-686-5270
Mailing Address - Fax:
Practice Address - Street 1:1940 TAYLOR DR APT 11
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6338
Practice Address - Country:US
Practice Address - Phone:540-686-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant