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Individual

JON MICHAEL LAZALETA DUEY

Active
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Individual

JON MICHAEL LAZALETA DUEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
163W00000X
Registered Nurse
658352-1
NY
163W00000X
Registered Nurse
95035248
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95001898
CA

Other

Enumeration date
07/18/2008
Last updated
04/17/2025
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