LISSETTE LAZO — Medicare Enrolled Provider (PRACTITIONER - FAMILY PRACTICE, FL)
LISSETTE LAZO — Medicare Enrolled Provider (PRACTITIONER - FAMILY PRACTICE, FL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LISSETTE LAZO; Type: Individual; NPI: 1003208083.
| Name | LISSETTE LAZO |
|---|---|
| Type | Individual |
| NPI | 1003208083 |
| Provider type | PRACTITIONER - FAMILY PRACTICE |
| State | FL |
| Enrollment ID | I20180214002737 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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