Provider Demographics
NPI:1053695361
Name:LESTER, JEFFREY HOWARD (RPH, DPH)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:HOWARD
Last Name:LESTER
Suffix:
Gender:M
Credentials:RPH, DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 HARDY RD
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-3643
Mailing Address - Country:US
Mailing Address - Phone:540-344-1215
Mailing Address - Fax:540-344-1238
Practice Address - Street 1:915 HARDY RD
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-3643
Practice Address - Country:US
Practice Address - Phone:540-344-1215
Practice Address - Fax:540-344-1238
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020066291835G0303X
TN00000342981835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric