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Individual

MR. DONATO LAZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
3213 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1962
(702) 570-6222
Mailing address
9141 CHECKERBOARD CT, LAS VEGAS, NV 89149-2999
(702) 499-3764

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11-0093
NV

Other

Enumeration date
06/06/2007
Last updated
12/30/2014
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