NPI 1003604489

Juanadrian Bosco Lezama Morales, MD

Practitioner Student in an Organized Health Care Education/Training Program Milwaukee, WI

Practice location

Address: 1316 W Forest Home Ave, Milwaukee, WI 53204-3227
Phone: (414) 424-5000

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003604489
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2025
Record last updated: 28 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.