Herrera, Manuel Lazaro

Herrera, Manuel Lazaro is an individual health care provider with primary practice located at 1920 Don Wickham Dr Suite 325, Clermont FL 34711-1918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Herrera, Manuel Lazaro can be contacted via phone (352) 241-7275.

Contact Information

Primary practice address
1920 Don Wickham Dr Suite 325 Clermont FL 34711-1918
Phone: (352) 241-7275
Fax: (352) 241-7281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME103054 Florida

Profile Details

NPI number 1255582805
LBN Legal business name Herrera, Manuel Lazaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Jun 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255582805 NPPES
Florida Other ME103054 MEDICAL LICENSE
Florida MEDICAID 002174400 MEDICAL LICENSE

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