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Joanna L Lezak, ANP
Adult Health Nurse Practitioner in Portland, Oregon
NPI 1366445967

Joanna L Lezak is an Adult Health Nurse Practitioner based in Portland, OR and is specialized in Adult Health. Joanna L Lezak practices in Portland, OR and has the professional credentials of ANP. The NPI Number for Joanna L Lezak is 1366445967 and holds a License No. 200450078NP (Oregon).

The current practice location address for Joanna L Lezak is 1130 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-413-3940 and via fax at 503-413-1860.

Location: 1130 Nw 22Nd Ave, Portland, OR, 97210-2900
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Provider Profile Details
NPI Number
1366445967
Provider Name
Joanna L Lezak
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
1130 Nw 22Nd Ave, Portland, OR, 97210-2900
Phone Number
503-413-3940
Fax Number
503-413-1860
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
275455 05 OR
institution
Provider Business Practice Location Address Details
Address
1130 Nw 22Nd Ave
City
State
Zip
97210-2900
Phone Number
503-413-3940
Fax Number
503-413-1860
person
Provider Business Mailing Address Details
Address
1130 Nw 22Nd Ave
City
State
Zip
97210-2900
Phone Number
503-413-3940
Fax Number
503-413-1860
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
200450078NP (Oregon)
Definition
Definition to come...
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