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General NPI Number Information
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NPI Number | 1609368885
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Entity Type | Organization
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Legal Business Name | LEZAMA, P.A.
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 14700 TAMIAMI TRL N STE 8
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City | NAPLES
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State | FL
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Zip | 34110-6221
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Country | US
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Telephone | 239-374-2075
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Fax |
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Provider Business Mailing Address
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Address Line | 14700 TAMIAMI TRL N STE 8
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City | NAPLES
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State | FL
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Zip | 34110-6221
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Country | US
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Telephone | 239-374-2075
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Fax |
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Authorized Official
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Title or Position | OWNER/OD
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Name | EMILIO MARTINEZ-LEZAMA
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Credential | OD
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Telephone | 901-289-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4214
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License Number State | FL
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