Most Relevant Information
Provider Data
| NPI Number: | 1003424185 |
| Provider Name: | MARILU LEZCANO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2020 |
| Last Updated: | 07/15/2020 |
Provider Practice Location
199 W 29TH ST APT 6
HIALEAH
FL
330125724
Practice Location Phone/Fax
| Phone: | 7866227155 |
| Fax: |
Provider Mailing Location
199 W 29TH ST APT 6
HIALEAH
FL
330125724
Provider Mailing Phone/Fax
| Phone: | 7866227155 |
| Fax: |