Provider Demographics
NPI:1871646406
Name:LEZCANO MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:LEZCANO MEDICAL EQUIPMENT, INC.
Other - Org Name:(SAME AS ABOVE)
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEZCANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-282-6825
Mailing Address - Street 1:175 FONTAINEBLEAU BLVD STE 2K6A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-7018
Mailing Address - Country:US
Mailing Address - Phone:305-228-7326
Mailing Address - Fax:305-228-7327
Practice Address - Street 1:175 FONTAINEBLEAU BLVD STE 2K6A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-7018
Practice Address - Country:US
Practice Address - Phone:305-228-7326
Practice Address - Fax:305-228-7327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies