Individual
RONDY MICHAEL LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A148781
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
302172
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
A148781
CA
Other
Enumeration date
04/14/2014
Last updated
02/28/2025
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