Individual
JESSICA LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6151 MIRAMAR PKWY, MIRAMAR, FL 33023-3970
(954) 603-5100
Mailing address
6151 MIRAMAR PKWY, MIRAMAR, FL 33023-3970
(954) 603-5100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11031050
FL
Other
Enumeration date
03/04/2024
Last updated
10/01/2024
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