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Individual
MARITA F. LAZZARO
Active
Individual
MARITA F. LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP, WHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
444188
TX
363LA2200X
Adult Health Nurse Practitioner
444188
TX
363LW0102X
Women's Health Nurse Practitioner
444188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156077301
—
TX
01
—
500029922
RR MEDICARE
TX
01
—
87N480
BCBS
TX
Enumeration date
10/12/2006
Last updated
09/28/2011
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