Individual
NICHOLAS J LEZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2102 CORLIES AVE, NEPTUNE, NJ 07753-6141
(732) 776-8535
(732) 774-9148
Mailing address
2102 CORLIES AVE, NEPTUNE, NJ 07753-6141
(732) 776-8535
(732) 774-9148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013280
NY
363A00000X
Physician Assistant
Primary
25MP00187300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00187300
NJ LICENSE
NJ
Enumeration date
03/05/2008
Last updated
01/07/2015
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