Individual
DR. DANIEL VASCO LAZZARESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 16TH ST FL 5, SAN FRANCISCO, CA 94158-2545
(707) 293-4974
Mailing address
460 HIDDEN ACRES RD, HEALDSBURG, CA 95448-4629
(707) 293-4974
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A166562
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
02/16/2022
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