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 |
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Gender | Male |
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Speciality | Preventive Medicine - Aerospace Medicine |
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Location | 901 Thornbury Pl, O Fallon, Illinois |
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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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