Organization
LAZARO ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL ENRIQUE LAZARO COLLAZO MD (ORTHOPEDIC SURGEON)
(787) 565-8562
Entity
Organization
Contact information
Practice address
1665 AVE VCTR LABIOSA STE 106, SAN JUAN, PR 00926-4149
(787) 223-9160
Mailing address
300 AVE LA SIERRA, BOX 187 R-8, SAN JUAN, PR 00926
(787) 223-9160
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679731657
INDIVIDUAL
—
Enumeration date
08/12/2021
Last updated
06/06/2022
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