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Individual

YIDIER LAZO GIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDMS, RVT

Contact information

Practice address
1840 W 49TH ST STE 517, HIALEAH, FL 33012-2950
(786) 663-7276
Mailing address
10541 W 32ND LN, HIALEAH, FL 33018-2113

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
161469
2471V0105X
Vascular Sonography Radiologic Technologist
161469

Other

Enumeration date
04/18/2023
Last updated
07/29/2025
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