Individual
BREANNA LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
(323) 432-3700
Mailing address
5603 S CENTRAL AVE, LOS ANGELES, CA 90011-5967
(323) 432-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
09/15/2022
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