Individual
EDWARD JOSEPH LAZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 MCCULLOUGH AVE, SUITE 101, SAN ANTONIO, TX 78212-4812
(210) 223-4140
(210) 359-6640
Mailing address
1222 MCCULLOUGH AVE, SUITE 101, SAN ANTONIO, TX 78212-4812
(210) 223-4140
(210) 359-6640
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L7950
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1647927-01
—
TX
Enumeration date
12/01/2005
Last updated
05/30/2008
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