Individual
ALEJANDRO ANTONIO LAZCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4900 S UNIVERSITY DR STE 106, DAVIE, FL 33328-3809
(954) 705-5151
Mailing address
9324 SW 154TH AVE, MIAMI, FL 33196-1140
(786) 286-7989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36152
FL
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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