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Individual
MIGUEL KARLO LACSON DIAZ
Active
Individual
MIGUEL KARLO LACSON DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95212921
CA
363LF0000X
Family Nurse Practitioner
Primary
95032763
CA
Other
Enumeration date
10/28/2024
Last updated
05/07/2026
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