# ANGEL LAZO MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154638211
- **Authorized official:** ANGEL LAZO MD (OWNER)
- **Authorized official phone:** (908) 963-9919

## Contact information

- **Practice address:** 55 MEADOWLANDS PKWY FL 3, SECAUCUS, NJ 07094-2977
- **Practice address phone:** (201) 978-7740
- **Practice address fax:** (201) 392-3514
- **Mailing address:** PO BOX 4335, WARREN, NJ 07059-0335
- **Mailing address phone:** (908) 963-9919
- **Mailing address fax:** (201) 392-3514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA70523 | NJ | Yes |

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 05/28/2015