Lezatte, Stephanie K

Lezatte, Stephanie K is an individual health care provider with primary practice located at 7680 Dannaher Dr. , Powell TN 37849-4052. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lezatte, Stephanie K can be contacted via phone (865) 521-8050.

Contact Information

Primary practice address
7680 Dannaher Dr. Powell TN 37849-4052
Phone: (865) 521-8050
Fax: (865) 544-5816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1809 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1809 Tennessee

Profile Details

NPI number 1902128812
LBN Legal business name Lezatte, Stephanie K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2010
Last updated Nov 27th, 2023 - about 3 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 1902128812 NPPES
Tennessee MEDICAID 1518173

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