Active NPI
Larissa Lembert-Tezanos, MD
- Anatomic Pathology & Clinical Pathology Physician
- West Palm Beach, FL
National Provider Identifier
1629233515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME103678
- Practice address
- 2201 45TH St
West Palm Beach, FL 33407-2047 - Phone
- (561) 842-6141
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME103678 | FL | Primary |
Addresses
Primary practice location
2201 45TH St
West Palm Beach, FL 33407-2047
Mailing address
PO Box 144333
Orlando, FL 32814-4333
Phone (407) 422-9831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0237621 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103678 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1629233515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144333",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328144333",
"telephone_number": "407-422-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 45TH ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072047",
"telephone_number": "561-842-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMBERT-TEZANOS",
"first_name": "LARISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME103678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0237621",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.