Individual ProviderJeffrey LezamaPharmacistPharmacy Service ProvidersPractice Address12209 Veirs Mill Rd, Silver Spring, MD 20906-4506(240) 472-2557PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey 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 2 days ago.Profile DetailsProvider ID1245608363Provider TypeIndividualFull NameLezama, JeffreyTitleMr.CredentialRPHGenderMaleSole ProprietorNoEnumeration Date9/5/2015Last Updated9/5/2015Contact InformationPractice LocationPractice Address12209 Veirs Mill Rd, Silver Spring, MD 20906-4506Phone(240) 472-2557Fax(301) 962-7248Mailing LocationMailing Address8490 Ice Crystal Dr, Unit #N, Laurel, MD 20723-2065Phone(240) 472-2557Fax(301) 962-7248Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense13677Maryland