Individual
CARLOS MANUEL LEZCANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 N KENDALL DR # 2-SOUTH, MIAMI, FL 33176-2118
(305) 783-7982
Mailing address
12952 NW 18TH CT, PEMBROKE PINES, FL 33028-2510
(954) 778-1664
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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