NPI | 1265859961 |
---|---|
Other Name | CHRIS D LEZU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2719) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 2719) |
363AS0400X Physician Assistant, Surgical (Licence: TN 2719) | |
Enumeration Date | 2014-03-20 |
Last Update Date | 2022-11-09 |