Individual
DR. LOURDES LAZATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
451 W GONZALES RD, SUITE 260, OXNARD, CA 93036-9004
(805) 983-3557
(805) 983-2337
Mailing address
451 W GONZALES RD, SUITE 260, OXNARD, CA 93036-9004
(805) 983-3557
(805) 983-2337
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A32947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32947
STATE LICENSE
CA
Enumeration date
04/11/2007
Last updated
07/08/2007
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