Individual
EDWARD C LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 SE 29TH PL, STE 200, OCALA, FL 34471-0488
(352) 690-6813
(352) 690-6859
Mailing address
321 SE 29TH PL, STE 200, OCALA, FL 34471-0488
(352) 690-6813
(352) 690-6859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 69494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27966
BCBS
FL
Enumeration date
06/04/2007
Last updated
09/20/2007
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