Individual
HERSCHELL LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
920 GRAND AVE, SAN RAFAEL, CA 94901-3506
(415) 376-2310
Mailing address
920 GRAND AVE, SAN RAFAEL, CA 94901-3506
(415) 376-2310
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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