Individual
DONNELL PHILIPPE OCTAVIO LAZARO-PAULINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
PO BOX 860912 PROVIDER ENROLLMENT, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
(507) 284-0702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30788
MN
207P00000X
Emergency Medicine Physician
Primary
70146
MN
Other
Enumeration date
04/14/2020
Last updated
03/13/2025
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