Maybelline Virginia Lezama MD

NPI 1467627737 - Internal Medicine - 207R00000X

NPI Details
NPI 1467627737
Gender Female
Enumeration Date 04/28/2008
Last Updated 04/22/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
56 FRANKLIN ST
WATERBURY CT, 06706-1253, US
Phone (203) 709-6424
Fax
Business Location
44 TAFT PT APT 8
WATERBURY CT, 06708-5901, US
Phone (203) 437-2368
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Connecticut
License Number 046899
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According to our database, Dr. Maybelline Virginia Lezama MD NPI is 1467627737, taxonomy code is 207R00000X and license number is 046899, license state is located at Connecticut. Maybelline Virginia Lezama MD physically located at 56 Franklin St, Waterbury CT, 06706-1253. NPI Number Maybelline Virginia Lezama MD has the Individual type.

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1467627737 NPI number is provided on an as is basis without warranty of any kind. 1467627737 is maintained by the National Plan & Provider Enumeration System. The contents of Maybelline Virginia Lezama MD are for informational purposes only.