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NPI Code Detail

MEDICARE: DAVID LEZBERG MD

MEDICARE: DAVID LEZBERG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician47525MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2701013OTHERMATUFTS
3B39194OTHERMABS

General Provider Information

NPI Number : 1356396519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEZBERG MD
Provider Business Mailing Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1291
Country : US
Telephone Number : 978-459-2273
Fax Number :
Provider Business Practice Location Address
First Line : 1230 BRIDGE ST
Second Line :
City : LOWELL
State : MA
Zip : 01850-1291
Country : US
Telephone Number : 978-459-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/26/2014

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