Individual
MR. BERNY ESTEEV LAZARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
936 CAROB WAY APT 2, MONTEBELLO, CA 90640-5828
(323) 253-6363
Mailing address
3881 S. WESTERN, LOS ANGELES, CA 90062
(323) 290-4375
(323) 293-8159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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