Individual
DR. FERNANDO A LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
375 BROADWAY, PATERSON, NJ 07501-2294
(973) 925-1881
Mailing address
48 CHESTER AVE, NEWARK, NJ 07104-4130
(973) 986-2853
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00778200
NJ
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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