Organization
RICHARD W. LAZARO, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WAYNE LAZARO M.D. (PRESIDENT)
(505) 522-7676
Entity
Organization
Contact information
Practice address
1131 MALL DR, LAS CRUCES, NM 88011-8191
(505) 522-7676
(505) 522-8121
Mailing address
1131 MALL DR, LAS CRUCES, NM 88011-8191
(505) 522-7676
(505) 522-8121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
83-236
NM
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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