Doctor Name: | NOEL E. LEZAMA |
NPI Number: | 1275693137 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 90883 |
Business Practice Address: | 4445 West 16 Ave S-507 Hialeah, FL - 33012 |
Business Phone Number: | 3055588687 |
Business Fax Number: | |
Mailing Address: | 4600 Sw 154 Ct, MIAMI |
State: | FL |
Postal Code: | 33185 |
Phone Number: | 3055052527 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 90883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |