Organization
L LAZARO IV APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L LAZARO MD (PRESIDENT)
(337) 237-5008
Entity
Organization
Contact information
Practice address
913 S COLLEGE RD, 110, LAFAYETTE, LA 70503-3060
(337) 237-5008
Mailing address
913 S COLLEGE RD, 110, LAFAYETTE, LA 70503-3060
(337) 237-5008
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
020490
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5DD88
GROUP PTAN
LA
01
—
660002258
PALMETTO GBA - RAILROAD MEDICARE
LA
Enumeration date
03/23/2007
Last updated
07/23/2008
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