Individual
CICERON LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6028 BENNETT ROAD, JACKSONVILLE, FL 32216
(904) 737-6422
(904) 730-8144
Mailing address
6028 BENNETT ROAD, JACKSONVILLE, FL 32216
(904) 737-6422
(904) 730-8144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME004648
FL
Other
Enumeration date
12/27/2006
Last updated
05/23/2014
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