| NPI | 1134773757 |
|---|---|
| Other Name | DEREK LEZAMA, DC PC |
| Entity Type | Organization |
| Authorized Contact | DEREK LEZAMA Business Owner 347-728-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |