Individual
DR. LAZARO ANDRES HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2309 W M L KING BLVD, SUITE 1, TAMPA, FL 33607
(813) 879-2778
(813) 877-6761
Mailing address
2309 W M L KING BLVD, SUITE 1, TAMPA, FL 33607
(813) 879-2778
(813) 877-6761
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME019886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18189
STAYWELL
—
01
—
4129415
AETNA
—
Enumeration date
06/27/2006
Last updated
07/08/2007
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