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NPI Code Detail

MEDICARE: LAZARO ALONSO

MEDICARE:   LAZARO  ALONSO
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
1103K00000XBehavior AnalystNV

General Provider Information

NPI Number : 1710348529
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAZARO ALONSO
Provider Business Mailing Address
First Line : 7113 ALAMOSA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-3351
Country : US
Telephone Number : 786-372-3446
Fax Number :
Provider Business Practice Location Address
First Line : 7113 ALAMOSA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-3351
Country : US
Telephone Number : 786-372-3446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2016
Last Update Date : 03/08/2016

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Directions to “ LAZARO ALONSO ” Practice Location

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