NPI 1417589268

Jacob Michael Lezon

Practitioner Basic Emergency Medical Technician Ft. Rucker, AL

Practice location

Address: 30501 Nevins St., Ft. Rucker, AL 36362
Phone: (334) 255-8071

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E3497387 (TX)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1417589268
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2020
Record last updated: 10 Feb 2020

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.