Individual
NOEL E. LEZAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8074 NW 103RD ST, SUITE 20, HIALEAH GARDENS, FL 33016
(305) 826-4307
(305) 826-6790
Mailing address
8074 NW 103RD ST STE 20, HIALEAH GARDENS, FL 33016-2256
(305) 826-4307
(305) 826-6790
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
90883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004484000
—
FL
Enumeration date
12/11/2006
Last updated
05/24/2018
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