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NPI Code Detail

MEDICARE: CATHERINE LAZO DPT

MEDICARE:   CATHERINE  LAZO  DPT
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
1225100000XPhysical Therapist1337865TX

General Provider Information

NPI Number : 1922605682
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE LAZO DPT
Provider Business Mailing Address
First Line : 2511 GOLF COURSE RD APT 527
Second Line :
City : KINGSVILLE
State : TX
Zip : 78363-2905
Country : US
Telephone Number : 214-625-2198
Fax Number :
Provider Business Practice Location Address
First Line : 138 S FM 1329
Second Line :
City : SAN DIEGO
State : TX
Zip : 78384-3925
Country : US
Telephone Number : 361-279-8291
Fax Number : 361-279-7219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 10/06/2020

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Directions to “ CATHERINE LAZO DPT” Practice Location

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