Individual
EDINA LEZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(800) 555-1990
Mailing address
68 COURT ST, FREEHOLD, NJ 07728-1710
(718) 772-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17755400
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00778500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
527288
NY
Other
Enumeration date
07/26/2017
Last updated
04/14/2021
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