Individual
FABEOLA LAZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9425
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 580-2141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
01/27/2026
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