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Organization
LAZARO PHYSICAL THERAPY
Active
Organization
LAZARO PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMER LAZARO PT, DPT, MS-HCA, OCS (OWNER/PRESIDENT)
(415) 724-5278
Entity
Organization
Contact information
Practice address
20861 WILBEAM AVE STE 9, CASTRO VALLEY, CA 94546-5832
(415) 724-5278
Mailing address
2612 ERSKINE LN, HAYWARD, CA 94545-3028
(415) 724-5278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
06/27/2019
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