Individual
ANDREW JESUS LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N SEMORAN BLVD BLDG SUITEE, ORLANDO, FL 32807-3536
(407) 823-8421
(407) 823-8195
Mailing address
1400 N SEMORAN BLVD BLDG SUITEE, ORLANDO, FL 32807-3536
(407) 823-8421
(407) 823-8195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11039812
FL
363LF0000X
Family Nurse Practitioner
11039812
FL
363LF0000X
Family Nurse Practitioner
APRN11039812
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11039812
FL
Other
Enumeration date
05/29/2025
Last updated
08/06/2025
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