# ALVARO R LAZO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154394146
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS030094L | PA | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 03/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017686540004 | — | PA |
| 05 | — | 2203172 | — | OH |
| 05 | — | 4005100-000 | — | WV |