Provider Demographics
NPI:1407697006
Name:NATALYA LEZHAK DPT LLC
Entity type:Organization
Organization Name:NATALYA LEZHAK DPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEZHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-202-7188
Mailing Address - Street 1:108 WOODLAND HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:ST JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-3290
Mailing Address - Country:US
Mailing Address - Phone:917-202-7188
Mailing Address - Fax:
Practice Address - Street 1:108 WOODLAND HILLS WAY
Practice Address - Street 2:
Practice Address - City:ST JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-3290
Practice Address - Country:US
Practice Address - Phone:917-202-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist