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NPI Code Detail

MEDICARE: NESTOR LAZO LMT

MEDICARE: NESTOR LAZO LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistLVMT.12134NV

General Provider Information

NPI Number : 1679256739
Entity Type Code : Individual
Provider Name (Legal Business Name) : NESTOR LAZO LMT
Provider Business Mailing Address
First Line : 7277 W CAMERO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4643
Country : US
Telephone Number : 808-464-8019
Fax Number :
Provider Business Practice Location Address
First Line : 7277 W CAMERO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4643
Country : US
Telephone Number : 808-464-8019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 08/07/2023

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Directions to “ NESTOR LAZO LMT” Practice Location

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