Individual
MR. CARL VIRGIL BELAN LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(562) 676-8028
Mailing address
3941A BRAYTON AVE, LONG BEACH, CA 90807-3707
(562) 676-8028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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