Individual
CLAIRE BAUTISTA LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 MCHENRY AVE STE D6, MODESTO, CA 95350-1469
(209) 529-1542
Mailing address
2265 MAVERICK CT, MODESTO, CA 95355-7991
(209) 818-8394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013171
CA
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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