Organization
EUGENE A. LAMAZOR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO ARNOLD (AUTHORIZED REP)
(209) 892-9100
Entity
Organization
Contact information
Practice address
1108 WARD AVE, BLDG. A SUITE 1, PATTERSON, CA 95363-8529
(209) 892-9100
(209) 892-0831
Mailing address
4725 ENTERPRISE WAY, SUITE 1, MODESTO, CA 95356-8967
(209) 543-6279
(209) 543-6280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G18252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G18252
MEDICAL LICENSE
CA
Enumeration date
08/03/2006
Last updated
08/22/2020
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