RICHARD W. LAZARO, M.D. P.C.
Medical Practice at Mall Dr, Las Cruces, NM

License number
New Mexico 83-236
Category
Medical Practice
Type
Specialist
Owner
Name: RICHARD WAYNE LAZARO M.D.
Title: PRESIDENT
Phone: (505) 522-7676
Address
Address
1131 Mall Dr, Las Cruces, NM 88011
National Provider ID: 1912196387
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICHARD W. LAZARO, M.D., PC

Las Cruces, NM

Registration:
Apr 16, 2001
Addresses:
1311 Mall Dr  , Las Cruces, NM 88011 (Mailing)
1131 Mall Dr  , Las Cruces, NM 88011 (Mailing)
State ID:
2163269
Business type:
Domestic Professional Corporation
Secretarys:
Richard W Lazaro (President),Corine B Lazaro (Secretary)
Agent:
Dr Richard W Lazaro,1131 Mall Dr, Las Cruces, NM 88011 (Physical)

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