| Eric U Lazo LLC | |
|
3301 W Charleston Blvd Las Vegas NV 89102-1835 | |
| (702) 968-0102 | |
| (702) 968-0104 |
| Full Name | Eric U Lazo LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3301 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Eric Ulanday Lazo (PHYSICIAN OWNER) |
| Authorized Official Contact | 7029680102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric U Lazo LLC Po Box 26302 Las Vegas NV 89126-0302 Ph: (702) 968-0102 | Eric U Lazo LLC 3301 W Charleston Blvd Las Vegas NV 89102-1835 Ph: (702) 968-0102 |
| NPI Number | 1053592774 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053592774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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