Individual
EDILE LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12209 SW 14TH LN APT 1104, MIAMI, FL 33184-2806
(786) 332-8462
Mailing address
12209 SW 14TH LN APT 1104, MIAMI, FL 33184-2806
(786) 332-8462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32678
FL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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