Individual
DR. GEORGE ALEXANDER FUTCH LAZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 617-3823
(650) 688-3669
Mailing address
650 CLARK WAY, PALO ALTO, CA 94304-2300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29901
CA
Other
Enumeration date
02/28/2018
Last updated
01/09/2021
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