Roderick Lazo in San Marcos - Physician Assistant
Roderick Lazo - NPI 1588789754
Roderick Lazo is a Physician Assistant in San Marcos, California. Roderick Lazo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roderick Lazo is 1588789754. The last update date is 2021-12-01.
Roderick Lazo's current location address is 400 Craven Rd, San Marcos, California. You can contact this provider via phone number 7607364125. The mailing address for Roderick Lazo is 400 Craven Rd, San Marcos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick Lazo |
|---|---|
| Address | 400 Craven Rd, San Marcos, California |
| Phone Number | 7607364125 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1588789754 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 400 Craven Rd |
|---|---|
| City | San Marcos |
| State | California (CA) |
| Post Code | 920784201 |
| Phone Number | 7607364125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15633 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Roderick Lazo by the Centers for Medicare & Medicaid Services?
The Roderick Lazo has been issued the NPI (National Provider Identifier) 1588789754, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Roderick Lazo located?
The Roderick Lazo is located at 400 Craven Rd, San Marcos, CA 920784201.
What is Roderick Lazo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roderick Lazo's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Roderick Lazo receive the assignment of its 1588789754 from the Centers for Medicare & Medicaid Services?
The Roderick Lazo was issued its 1588789754 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding Roderick Lazo most recently updated?
The details pertaining to the Roderick Lazo, including its address, specialty, and other relevant information, were last refreshed on 2021-12-01.