Individual
DR. AUDRIE ANNE LEGASTO LAZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037
(212) 939-4019
Mailing address
506 LENOX AVE, DEPARTMENT OF PEDIATRICS: MLK 17-110, NEW YORK, NY 10037-1802
(212) 939-4019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
311197
NY
Other
Enumeration date
07/02/2018
Last updated
10/02/2021
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