Individual
ANTONIO LAZARO CARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 SE LOUIS DR, MULVANE, KS 67110-1109
(316) 777-0176
(316) 777-1817
Mailing address
1004 SE LOUIS DR, MULVANE, KS 67110-1109
(316) 777-0176
(316) 777-1817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-21889
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057433
BC/BS
KS
Enumeration date
08/05/2006
Last updated
10/25/2007
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