Organization
ERIC U LAZO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ULANDAY LAZO MD (PHYSICIAN OWNER)
(702) 968-0102
Entity
Organization
Contact information
Practice address
3301 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1835
(702) 968-0102
(702) 968-0104
Mailing address
PO BOX 26302, LAS VEGAS, NV 89126-0302
(702) 968-0102
(702) 968-0104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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