Individual
DR. LAZARO VICTOR ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15216 VANOWEN ST, VAN NUYS, CA 91405-3601
(818) 785-7875
(818) 909-7924
Mailing address
15216 VANOWEN ST, VAN NUYS, CA 91405-3601
(818) 785-7875
(818) 909-7924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A393430
—
CA
Enumeration date
07/12/2006
Last updated
05/23/2008
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