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Individual

ANDREW W LAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
800 N 5TH AVE STE 101, SEQUIM, WA 98382-3045
(360) 565-0999
(360) 582-4221
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
(360) 565-0901

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61310949
WA
363A00000X
Physician Assistant

Other

Enumeration date
06/20/2022
Last updated
08/26/2022
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