Individual
DR. GABRIEL GEORGE LAZCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1661 SW 37TH AVE, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Mailing address
1661 SW 37TH AVE, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME77719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008838500
—
FL
01
—
46324
BCBS
FL
Enumeration date
08/02/2005
Last updated
09/03/2015
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