Individual
MR. CHRISTOPHER DALE LEZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2719
TN
363AM0700X
Medical Physician Assistant
2719
TN
363AS0400X
Surgical Physician Assistant
2719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016603
—
TN
Enumeration date
03/20/2014
Last updated
11/09/2022
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