Individual
MRS. GUISELA LORENA LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 HOLLYWOOD PL, WEST PALM BEACH, FL 33405-1809
(561) 667-1720
Mailing address
717 HOLLYWOOD PL, WEST PALM BEACH, FL 33405-1809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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