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Individual

DR. GENEROSA CALDERON LAZOR

Active
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Individual

DR. GENEROSA CALDERON LAZOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D34413
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
293901100
MD
05
408959600
MD
01
D34413
MD LICENSE NUMBER
MD
Enumeration date
12/06/2005
Last updated
12/30/2014
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