Individual
LAZARO ENRIQUE CRUZ LABORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP BC
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(786) 222-3633
Mailing address
11704 NW 11TH AVE, MIAMI, FL 33168-6213
(786) 222-6333
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
APRN11028488
FL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
APRN11028488
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN11028488
FL
Other
Enumeration date
09/07/2023
Last updated
06/27/2025
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