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NPI Code Detail

MEDICARE: MRS. GUISELA LORENA LAZO

MEDICARE:  MRS. GUISELA LORENA LAZO
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1801212295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GUISELA LORENA LAZO
Provider Business Mailing Address
First Line : 717 HOLLYWOOD PL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-1809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 717 HOLLYWOOD PL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-1809
Country : US
Telephone Number : 561-667-1720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2014
Last Update Date : 03/10/2014

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Directions to “ MRS. GUISELA LORENA LAZO ” Practice Location

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