Individual
ANGELICA C LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 419-6737
Mailing address
230 JACOB ST, ELMONT, NY 11003-2230
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
N17174
NY
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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