Individual
MR. DANIEL LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 HUDSON ST, NEW YORK, NY 10013-1412
(332) 239-7305
Mailing address
2-10 MONTGOMERY ST APT B1, BLOOMFIELD, NJ 07003-6027
(973) 941-3697
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311279
NY
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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