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Individual

OFELIA LOANI ELVIR LAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
467 ARNAZ DR APT 317, LOS ANGELES, CA 90048-6708
(310) 721-4220
Mailing address
467 ARNAZ DR APT 317, LOS ANGELES, CA 90048-6708
(310) 721-4220

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
14-456
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14-456
THE AMERICAN BOARD OF SURGICAL ASSISTANS
CO
Enumeration date
01/17/2015
Last updated
01/17/2015
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