Individual
RICHARD A LEZOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1120 COMMERCE PARK DR, SUITE D, DEWITT, MI 48820-7967
(517) 668-1300
(517) 669-7227
Mailing address
1120 COMMERCE PARK DR, SUITE D, DEWITT, MI 48820-7967
(517) 668-1300
(517) 669-7227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400042
PHP
MI
01
—
950A950100
BCBS
MI
Enumeration date
12/09/2005
Last updated
07/16/2010
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