Individual
LAZAUN JOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 LAKE ALFRED RD, WINTER HAVEN, FL 33881-1432
(863) 298-5000
Mailing address
2508 6TH ST NE, WINTER HAVEN, FL 33881-1661
(740) 275-2450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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