Dr Nicholas G Lezama, MD is a 
Preventive Medicine - Aerospace Medicine physician based in O Fallon, Illinois. Dr Nicholas G Lezama is licensed to practice in Massachusetts (license number 77082) and his current practice location is 901 Thornbury Pl, O Fallon, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(618) 229-5220.
NPI number for Dr Nicholas G Lezama is 1619958170 and his current mailing address is 901 Thornbury Pl, O Fallon, Illinois. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619958170.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr Nicholas G Lezama | 
|---|
| Gender | Male | 
|---|
| Speciality | Preventive Medicine - Aerospace Medicine | 
|---|
| Location | 901 Thornbury Pl, O Fallon, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1619958170
 - Provider Enumeration Date: 11/10/2005
 - Last Update Date: 03/20/2009
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Nicholas G Lezama such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1619958170 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 2083A0100X | Preventive Medicine - Aerospace Medicine  | 77082 (Massachusetts) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas G Lezama is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Nicholas G Lezama, MD 901 Thornbury Pl, O Fallon, IL 62269-6811 Ph: (618) 229-5220 | Dr Nicholas G Lezama, MD 901 Thornbury Pl, O Fallon, IL 62269-6811 Ph: (618) 229-5220 | 
		
		 
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