Provider Demographics
NPI:1457667297
Name:LENARDUZZI, LEXI (CCP)
Entity Type:Individual
Prefix:
First Name:LEXI
Middle Name:
Last Name:LENARDUZZI
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31330 SCHOOLCRAFT RD
Mailing Address - Street 2:STE 200
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2041
Mailing Address - Country:US
Mailing Address - Phone:734-525-9712
Mailing Address - Fax:480-777-1345
Practice Address - Street 1:31330 SCHOOLCRAFT RD
Practice Address - Street 2:STE 200
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2041
Practice Address - Country:US
Practice Address - Phone:734-525-9712
Practice Address - Fax:480-777-1345
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist