Individual
ANDRIS J LAZDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2151 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 832-0535
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G37941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G379411
—
CA
Enumeration date
02/03/2006
Last updated
12/17/2015
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