Physician Compare National (NPI:1336116854)

HEALTHCARE PROVIDER: JACQUELINE LEZINE-HANNA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1336116854
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860586245
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070915000268
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEZINE-HANNA
	Individual professional last name
Provider First Name	JACQUELINE
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8555 FLORENCE AVE
	Group Practice or individual's line 1 address
City	DOWNEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902404014
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5629239351
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050779
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M