Individual
DR. LAURIE WAGNON LAZOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 201B, WACO, TX 76712-8954
(254) 297-0515
(254) 297-0506
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M8780
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M8780
TX
Other
Enumeration date
03/25/2008
Last updated
10/01/2020
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