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Individual
STANLEY E LEZON
Active
Individual
STANLEY E LEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3021
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
37573
TX
367500000X
Certified Registered Nurse Anesthetist
55549
KS
367H00000X
Anesthesiologist Assistant
3021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197423
UNISON
SC
05
—
126063007
—
TX
05
—
200421140A
—
KS
01
—
20056079
FIRST CHOICE
SC
01
—
576008010006
BLUE CHOICE
SC
01
—
576008010009
BCBS
SC
01
—
576008010015
TRICARE
SC
05
—
AN1515
—
SC
Enumeration date
08/18/2005
Last updated
04/28/2016
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