# RICHARD W LAZARO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lazaro Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205915527
- **Authorized official:** MRS. CORINE B LAZARO RN (ADMINISTRATOR)
- **Authorized official phone:** (505) 522-7676

## Contact information

- **Practice address:** 1131 MALL DRIVE, LAS CRUCES, NM 88011
- **Practice address phone:** (505) 522-7676
- **Practice address fax:** (505) 522-8121
- **Mailing address:** 1131 MALL DRIVE, LAS CRUCES, NM 88011
- **Mailing address phone:** (505) 522-7676
- **Mailing address fax:** (505) 522-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 6127 | NM | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020