Individual
DR. OMAR LAZARO ESPONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10660 PARK RD STE 3400, CHARLOTTE, NC 28210-8461
(704) 667-3840
(704) 468-0081
Mailing address
10660 PARK RD STE 3400, CHARLOTTE, NC 28210-8461
(704) 667-3840
(704) 468-0081
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
01484
NC
207R00000X
Internal Medicine Physician
01484
NC
Other
Enumeration date
06/06/2007
Last updated
06/19/2024
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