Lezak, Joanna L

Lezak, Joanna L is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Suite 110, Portland OR 97210-2900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lezak, Joanna L can be contacted via phone (503) 413-3940.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Suite 110 Portland OR 97210-2900
Phone: (503) 413-3940
Fax: (503) 413-1860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 200450078NP Oregon

Profile Details

NPI number 1366445967
LBN Legal business name Lezak, Joanna L
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366445967 NPPES
Oregon MEDICAID 275455

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