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Individual

DR. JONATHAN RAFAEL JAVIER LAZARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1840 S STAPLEY DR STE 101, MESA, AZ 85204-6682
(480) 464-8500
(480) 464-6910
Mailing address
2750 SHADOW VIEW DR APT 224, EUGENE, OR 97408-4642
(412) 330-0034

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61339
AZ
207Q00000X
Family Medicine Physician
MD177853
OR

Other

Enumeration date
06/26/2013
Last updated
11/16/2020
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