Individual
LAZARO ESGUERRA JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.C.
Contact information
Practice address
394 LORAINE ST, SANDUSKY, MI 48471-1074
(810) 648-3444
(810) 648-3102
Mailing address
255 WORTH ST, SANDUSKY, MI 48471-1236
(810) 648-3444
(810) 648-3102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1657969-10
—
MI
Enumeration date
10/16/2006
Last updated
01/20/2016
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