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General NPI Number Information
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NPI Number | 1972777183
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Entity Type | Organization
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Legal Business Name | DR ALEJANDRO LAZO DC INC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 871 KOLU ST SUITE 101
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City | WAILUKU
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State | HI
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Zip | 96793-1456
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Country | US
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Telephone | 808-242-5768
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Fax | 808-242-5760
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Provider Business Mailing Address
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Address Line | 871 KOLU ST SUITE 101
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City | WAILUKU
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State | HI
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Zip | 96793-1456
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Country | US
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Telephone | 808-242-5768
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Fax | 808-242-5760
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEJANDRO LAZO
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Credential | DC
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Telephone | 808-242-5768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 473
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License Number State | HI
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