Organization
RICHARD W LAZARO MD PC
Active
Other names
Lazaro Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORINE B LAZARO RN (ADMINISTRATOR)
(505) 522-7676
Entity
Organization
Contact information
Practice address
1131 MALL DRIVE, LAS CRUCES, NM 88011
(505) 522-7676
(505) 522-8121
Mailing address
1131 MALL DRIVE, LAS CRUCES, NM 88011
(505) 522-7676
(505) 522-8121
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6127
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40006
—
NM
Enumeration date
11/06/2006
Last updated
08/22/2020
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