Nicholas G Lezama in O Fallon - Aerospace Medicine

Nicholas G Lezama - NPI 1619958170

Nicholas G Lezama is a Aerospace Medicine in O Fallon, Illinois. Nicholas G Lezama practices all healthcare services and medical treatments related to Aerospace Medicine. The NPI Number for Nicholas G Lezama is 1619958170. The last update date is 2009-03-20.

Nicholas G Lezama's current location address is 901 Thornbury Pl, O Fallon, Illinois. You can contact this provider via phone number 6182295220. The mailing address for Nicholas G Lezama is 901 Thornbury Pl, O Fallon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas G Lezama
Address 901 Thornbury Pl, O Fallon, Illinois
Phone Number 6182295220
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619958170
Provider Enumeration Date 2005-11-10
Last Updated Date 2009-03-20

Provider Mailing Address Detail

Address 901 Thornbury Pl
City O Fallon
State Illinois (IL)
Post Code 622696811
Phone Number 6182295220
Fax Number

Provider's Primary Taxonomy Detail

Speciality Aerospace Medicine
Taxonomy 2083A0100X
Licence No 77082
Definition:
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicl

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FAQs about Nicholas G Lezama

What is the unique identifier code issued to Nicholas G Lezama by the Centers for Medicare & Medicaid Services (CMS)?

The Nicholas G Lezama has been assigned the NPI (National Provider Identifier) 1619958170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Nicholas G Lezama is physically located?

The Nicholas G Lezama is physically situated at the following address: 901 Thornbury Pl, O Fallon, IL, 622696811.

What is Nicholas G Lezama's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nicholas G Lezama is Aerospace Medicine, and the taxonomy code that classifies this field of practice is 2083A0100X.

On what date was the 1619958170 assigned to Nicholas G Lezama?

The Nicholas G Lezama was issued its 1619958170 on 2005-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Nicholas G Lezama, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-20.

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