DR. NICHOLAS G LEZAMA (MD) – Aerospace Medicine Physician, NPI 1619958170

DR. NICHOLAS G LEZAMA (MD) is a healthcare provider. based in O fallon, Illinois. specializing in Aerospace Medicine Physician. They hold the professional credentials MD. They hold a License No. 77082 (MA). The NPI Number for DR. NICHOLAS G LEZAMA (MD) is 1619958170

Main info

Male
Name
DR. NICHOLAS G LEZAMA (MD)
NPI
1619958170
Phone
(618) 229-5220
Address
901 THORNBURY PL
Enumeration Date
10 November 2005
Last Update Date
20 March 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NICHOLAS G LEZAMA (MD)

  • 901, Thornbury Place, O'Fallon, Saint Clair County, Illinois, 62269, United States

    O FALLON, IL 622696811

    Phone: (618) 229-5220

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62269)

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Reviews

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Frequently asked questions

Is DR. NICHOLAS G LEZAMA (MD) listed with a National Provider Identifier?
Yes — DR. NICHOLAS G LEZAMA (MD) has NPI 1619958170 on file in the registry.
Is DR. NICHOLAS G LEZAMA (MD) shown as active in public data?
Registry records indicate DR. NICHOLAS G LEZAMA (MD) maintains an active NPI.
What expertise is attributed to DR. NICHOLAS G LEZAMA (MD)?
DR. NICHOLAS G LEZAMA (MD)'s specialty line reads Aerospace Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. NICHOLAS G LEZAMA (MD) registered?
Use O Fallon, Illinois as the headline location for DR. NICHOLAS G LEZAMA (MD) here.
When was this NPI issued?
Enumeration for DR. NICHOLAS G LEZAMA (MD) is noted as November 10, 2005 where the registry provides it.

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