Organization
ANGEL LAZO MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL LAZO MD (OWNER)
(908) 963-9919
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY FL 3, SECAUCUS, NJ 07094-2977
(201) 978-7740
(201) 392-3514
Mailing address
PO BOX 4335, WARREN, NJ 07059-0335
(908) 963-9919
(201) 392-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA70523
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8394709
—
NJ
Enumeration date
09/09/2010
Last updated
05/28/2015
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