Individual provider · Type 1 NPI

Keron Lezama, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1295098564 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4321 Map

Mailing address

100 Haven Ave, Apt 23D
New York, NY 10032-2645

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295098564

Keron Lezama, MD's National Provider Identifier is 1295098564, issued on Jun 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jun 20, 2012.