Individual
MS. DIANA LORENA LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
255 E JARVIS ST, PERRIS, CA 92571-2825
(951) 940-5112
Mailing address
255 E JARVIS ST, PERRIS, CA 92571-2825
(951) 940-5112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP40252
CA
Other
Enumeration date
05/02/2022
Last updated
06/16/2026
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