Individual
LEONARDO ERNESTO LAZO DEL SOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
204 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7851
(803) 808-4497
Mailing address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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