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Individual

RYAN LAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1920 WESTSIDE BLVD SE, RIO RANCHO, NM 87124-4893
(505) 922-9444
(505) 922-9150
Mailing address
1920 WESTSIDE BLVD SE, RIO RANCHO, NM 87124-4893
(505) 922-9444
(505) 922-9150

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2157
NM

Other

Enumeration date
12/05/2016
Last updated
12/05/2016
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