Individual
RODRIGO LAZCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5858 N QUIET LN, CASA GRANDE, AZ 85122-8832
(520) 252-0037
Mailing address
5858 N QUIET LN, CASA GRANDE, AZ 85122-8832
(520) 252-0037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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