Lazaga, Edward Joseph

Lazaga, Edward Joseph is an sole proprietor health care provider with primary practice located at 1222 Mccullough Ave Suite 101, San Antonio TX 78212-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lazaga, Edward Joseph can be contacted via phone (210) 223-4140.

Contact Information

Primary practice address
1222 Mccullough Ave Suite 101 San Antonio TX 78212-4812
Phone: (210) 223-4140
Fax: (210) 359-6640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X L7950 Texas

Profile Details

NPI number 1396729547
LBN Legal business name Lazaga, Edward Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated May 30th, 2008 - about 18 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 1396729547 NPPES
Texas MEDICAID 1647927-01

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