Most Relevant Information
Provider Data
| NPI Number: | 1003218140 |
| Provider Name: | CELAIDA LEZCANO |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3008957 |
Most Important Dates
| Enumeration Date: | 09/19/2014 |
| Last Updated: | 10/23/2020 |
Provider Practice Location
234 E GRAY ST STE 670
LOUISVILLE
KY
402021901
Practice Location Phone/Fax
| Phone: | 5026294525 |
| Fax: | 5026294529 |
Provider Mailing Location
234 E GRAY ST STE 670
LOUISVILLE
KY
402021901
Provider Mailing Phone/Fax
| Phone: | 5026294525 |
| Fax: | 5026294529 |