Mesa, Lazaro
Mesa, Lazaro is an individual health care provider with primary practice located at 3955 Indian River Blvd Ste 100 , Vero Beach FL 32960-4845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mesa, Lazaro can be contacted via phone (772) 569-2330.Contact Information
Primary practice address
3955 Indian River Blvd Ste 100
Vero Beach FL 32960-4845
Phone: (772) 569-2330
Fax: (772) 569-2630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | ME169431 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01092195A | Indiana |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 01092195A | Indiana |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME169431 | Florida |
Profile Details
| NPI number | 1912468877 |
|---|---|
| LBN Legal business name | Mesa, Lazaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Jun 30th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912468877 | NPPES |
| Indiana | Other | 01092195A | STATE LICENSE |
| Indiana | MEDICAID | 300085274 | STATE LICENSE |
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