Individual
CHRISTIE LEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144
(262) 658-4622
Mailing address
3512 N BRITTON RD, UNION GROVE, WI 53182-9663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2908
WI
225X00000X
Occupational Therapist
56004966
IL
Other
Enumeration date
11/07/2006
Last updated
06/01/2018
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