Individual
JONATHAN WILLIAM LEZOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44199 DEQUINDRE RD STE 315, TROY, MI 48085-1128
(248) 964-1170
(248) 964-1188
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101025075
MI
2086S0102X
Surgical Critical Care Physician
5101025075
MI
Other
Enumeration date
03/25/2014
Last updated
03/29/2021
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