Individual
CASEY LANE HAZLEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-8933
Mailing address
820 MAIN LANE, SUITE 1111, ORLANDO, FL 32801
(304) 888-2622
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29599
FL
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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