Individual
DR. JAIME LAZO LIGOT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
394 UNIVERSITY AVE, NEWARK, NJ 07102-1221
(973) 733-5300
(973) 733-4328
Mailing address
103 W NORTHFIELD RD, LIVINGSTON, NJ 07039-3738
(973) 994-1347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05369700
NJ
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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