Lezon, Stanley E
Lezon, Stanley E is an individual health care provider with primary practice located at 300 Willow Creek Pkwy Suite 130, Palestine TX 75801-4421. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Lezon, Stanley E can be contacted via phone (903) 723-2465.Contact Information
Primary practice address
300 Willow Creek Pkwy Suite 130
Palestine TX 75801-4421
Phone: (903) 723-2465
Fax: (903) 723-9891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 37573 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 3021 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 55549 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3021 | South Carolina |
Profile Details
| NPI number | 1043202740 |
|---|---|
| LBN Legal business name | Lezon, Stanley E |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Apr 28th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043202740 | NPPES |
| South Carolina | MEDICAID | AN1515 | |
| South Carolina | MEDICAID | 126063007 | |
| South Carolina | Other | 000000197423 | |
| South Carolina | MEDICAID | 200421140A | |
| South Carolina | Other | 20056079 | |
| South Carolina | Other | 576008010015 | |
| South Carolina | Other | 576008010006 | |
| South Carolina | Other | 576008010009 |
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