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NPI Code Detail

MEDICARE: DR. AMY LEZAMA PHARM D.

MEDICARE: DR. AMY LEZAMA PHARM D.
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS37128FL
2183500000XPharmacistPS37128FL

General Provider Information

NPI Number : 1508076340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY LEZAMA PHARM D.
Provider Business Mailing Address
First Line : 3890 VAN DYKE RD
Second Line :
City : LUTZ
State : FL
Zip : 33548-4800
Country : US
Telephone Number : 813-269-2814
Fax Number :
Provider Business Practice Location Address
First Line : 13515 LAKE TERRACE LN
Second Line :
City : TAMPA
State : FL
Zip : 33637-1003
Country : US
Telephone Number : 813-998-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 10/30/2019

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Directions to “ DR. AMY LEZAMA PHARM D.” Practice Location

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