Individual
MRS. ROSA I LAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OLD MILL RD., MOORE, OK 73160
(405) 326-2564
Mailing address
2601 OLD MILL RD., MOORE, OK 73160
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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