Individual
MR. GINO C LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DIRECTOR OF NURSING
Contact information
Practice address
23331 MALTBY PL, HARBOR CITY, CA 90710-1134
(310) 486-5106
(424) 263-4750
Mailing address
23331 MALTBY PL, HARBOR CITY, CA 90710
(310) 486-5106
(424) 263-4750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
552043
CA
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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