Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicholas G Lezama, MD

Individual provider Aerospace Medicine Physician · NPI 1619958170

Dr. Nicholas G Lezama, MD is an Aerospace Medicine Physician in O Fallon, Illinois. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

901 Thornbury Pl
O Fallon, IL 62269-6811
Phone: (618) 229-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Aerospace Medicine Physician (primary) Taxonomy 2083A0100X · Licence 77082 (MA)

Record details

NPI number1619958170
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESMarch 20, 2009