Myron Burton Lezak in Portland - Gastroenterology

Myron Burton Lezak - NPI 1487654992

Myron Burton Lezak is a Gastroenterology in Portland, Oregon. Myron Burton Lezak practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Myron Burton Lezak is 1487654992. The last update date is 2007-10-16.

Myron Burton Lezak's current location address is 2400 Sw Vermont St, Portland, Oregon. You can contact this provider via phone number 5034520915 and fax number 5037689232. The mailing address for Myron Burton Lezak is 2400 Sw Vermont St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Myron Burton Lezak
Address 2400 Sw Vermont St, Portland, Oregon
Phone Number 5034520915
Fax Number 5037689232
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1487654992
Provider Enumeration Date 2005-07-26
Last Updated Date 2007-10-16

Provider Mailing Address Detail

Address 2400 Sw Vermont St
City Portland
State Oregon (OR)
Post Code 972191940
Phone Number 5034520915
Fax Number 5037689232

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No MO22963
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
287678 OR --

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FAQs about Myron Burton Lezak

What is the unique 10-digit identifier code assigned to Myron Burton Lezak by the Centers for Medicare & Medicaid Services?

The Myron Burton Lezak has been issued the NPI (National Provider Identifier) 1487654992 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Myron Burton Lezak's facilities are situated?

The facilities of Myron Burton Lezak are physically located at the following address: 2400 Sw Vermont St, Portland, OR, 972191940.

What is the area of specialization for Myron Burton Lezak, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Myron Burton Lezak is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487654992 to Myron Burton Lezak?

The Centers for Medicare & Medicaid Services originally issued the 1487654992 to Myron Burton Lezak on 2005-07-26.

As of what date was the information regarding Myron Burton Lezak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Myron Burton Lezak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-16.

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