Individual
DR. KETRIN LEZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1504 3RD ST S, JACKSONVILLE BEACH, FL 32250-6312
(904) 246-7596
Mailing address
1504 3RD ST S, JACKSONVILLE BEACH, FL 32250-6312
(904) 246-7596
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS49642
FL
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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