Individual
RENATO DELFINO LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 W VERDUGO AVE APT D, BURBANK, CA 91506-2156
(818) 468-3371
Mailing address
1900 WEST VERDUGO AVE. UNIT D, BURBANK, CA 91506
(818) 468-3371
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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