Lazo, Robert L

Lazo, Robert L is an individual health care provider with primary practice located at 390 S Main St Ste 201 , Rocky Mount VA 24151-1767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lazo, Robert L can be contacted via phone (540) 484-4800.

Contact Information

Primary practice address
390 S Main St Ste 201 Rocky Mount VA 24151-1767
Phone: (540) 484-4800
Fax: (540) 484-4847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101052449 Virginia

Profile Details

NPI number 1689659401
LBN Legal business name Lazo, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 8th, 2022 - about 3 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 1689659401 NPPES
Virginia MEDICAID 005623120
Virginia MEDICAID 005633575
Virginia MEDICAID 010027144

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