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NPI Code Detail

MEDICARE: DONNELL PHILIPPE OCTAVIO LAZARO-PAULINA MD

MEDICARE: DONNELL PHILIPPE OCTAVIO LAZARO-PAULINA MD
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
1207P00000XEmergency Medicine Physician70146MN
2207P00000XEmergency Medicine Physician30788MN

General Provider Information

NPI Number : 1922627462
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNELL PHILIPPE OCTAVIO LAZARO-PAULINA MD
Provider Business Mailing Address
First Line : PO BOX 860912 PROVIDER ENROLLMENT
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number : 507-284-2511
Fax Number : 507-284-0702
Provider Business Practice Location Address
First Line : 1000 1ST DR NW
Second Line :
City : AUSTIN
State : MN
Zip : 55912-2941
Country : US
Telephone Number : 507-433-7351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 06/02/2026

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Directions to “ DONNELL PHILIPPE OCTAVIO LAZARO-PAULINA MD” Practice Location

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