Individual ProviderGabriela LezamaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000(864) 986-8518PECOS EnrollmentBased on the most recent information from CMS, provider Gabriela Lezama does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053995787Provider TypeIndividualFull NameLezama, GabrielaGenderFemaleSole ProprietorNoEnumeration Date5/9/2021Last Updated5/9/2021Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing Address4801 W Saint Francis Ave, Greenfield, WI 53220-1528Phone(864) 986-8518FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer