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General NPI Number Information
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NPI Number | 1821814757
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Entity Type | Organization
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Legal Business Name | LAZO MEDICAL LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1229 GILMORE LN
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City | LOUISVILLE
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State | KY
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Zip | 40213-2307
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Country | US
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Telephone | 502-235-1864
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 GILMORE LN
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City | LOUISVILLE
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State | KY
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Zip | 40213-2307
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Country | US
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Telephone | 502-235-1864
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES LAZAROS
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Credential |
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Telephone | 502-235-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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