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Individual

ALVARO R LAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1325 FIRWOOD DR, PITTSBURGH, PA 15243-1862
(412) 276-3037
(412) 564-4661
Mailing address
1325 FIRWOOD DR, PITTSBURGH, PA 15243-1862

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030094L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017686540004
PA
05
2203172
OH
05
4005100-000
WV
Enumeration date
02/09/2006
Last updated
03/21/2012
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