Individual
ANGEL AMADO LAZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 S US HIGHWAY 1 STE C11, FORT PIERCE, FL 34982-8143
(772) 466-6855
(772) 464-6983
Mailing address
2940 S US HIGHWAY 1 STE C11, FORT PIERCE, FL 34982-8143
(772) 466-6855
(772) 464-6983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07052300
NJ
207R00000X
Internal Medicine Physician
Primary
ME180081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8394709
—
NJ
Enumeration date
03/21/2006
Last updated
07/08/2026
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