Individual
DR. BRYAN LAZETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4222
(727) 504-6618
Mailing address
4840 SEASCAPE WAY APT 210, JACKSONVILLE, FL 32224-0627
(727) 504-6618
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11017174
FL
Other
Enumeration date
12/28/2021
Last updated
01/18/2022
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