Individual
MRS. STEPHANIE K LEZATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7680 DANNAHER DR., POWELL, TN 37849-4052
(865) 521-8050
(865) 544-5816
Mailing address
7121 REGAL LANE, SUITE 200A, KNOXVILLE, TN 37918-5804
(865) 521-8050
(865) 544-5816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1809
TN
363AS0400X
Surgical Physician Assistant
1809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518173
—
TN
Enumeration date
02/18/2010
Last updated
11/27/2023
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