Individual provider · Type 1 NPI
Matthew Glen Lezama, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Pasadena, CA
NPI number
1093063745
Active
Practice location
150 S Los Robles Ave Ste 850
Pasadena, CA 91101-4630
Mailing address
305 N Cedar St Apt 204
Glendale, CA 91206-5704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95010135 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093063745
Matthew Glen Lezama, PMHNP-BC's National Provider Identifier is 1093063745, issued on Aug 28, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pasadena, CA. The record was last updated on Jan 12, 2023.