Individual
MR. LAZARO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 683-3261
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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