Individual
DR. ROBERT L LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 S MAIN ST STE 201, ROCKY MOUNT, VA 24151-1767
(540) 484-4800
(540) 484-4847
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052449
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005623120
—
VA
05
—
005633575
—
VA
05
—
010027144
—
VA
Enumeration date
12/14/2005
Last updated
09/08/2022
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