MATTHEW GLEN LEZAMA

PASADENA, CA
NPI1093063745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95010135)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-08-28
Last Update Date2023-01-12
Business Address
MATTHEW GLEN LEZAMA PMHNP-BC
150 S LOS ROBLES AVE STE 850
PASADENA, CA 91101-4630
Phone number: 888-588-8995
Mailing Address
MATTHEW GLEN LEZAMA PMHNP-BC
305 N CEDAR ST APT 204
GLENDALE, CA 91206-5704
Phone number: 925-785-9123