| Rodolfo S Lazo, MD | |
|
620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | |
| (478) 445-4128 | |
| Not Available |
| Full Name | Rodolfo S Lazo |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 620 Broad St, Milledgeville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720090574 | NPI | - | NPPES |
| 00593403A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 016811 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo S Lazo, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 | Rodolfo S Lazo, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 |
Hector Piza, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Miguel A Fernandez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 |