Individual
MIGUEL ANGEL AMADO LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
3100 DUBLIN BLVD, DUBLIN, CA 94568
(925) 556-4296
Mailing address
3100 DUBLIN BLVD, DUBLIN, CA 94568
(925) 556-4296
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946365467
—
CA
Enumeration date
12/06/2021
Last updated
12/06/2021
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