Lazaro Gonzales PAC

NPI 1780783340 - Physician Assistant - 363A00000X

NPI Details
NPI 1780783340
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1011 HONOR HEIGHTS DR
MUSKOGEE OK, 74401-1318, US
Phone (918) 683-3261
Fax
Business Location
1011 HONOR HEIGHTS DR
MUSKOGEE OK, 74401-1318, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mr. Lazaro Gonzales PAC NPI is 1780783340, taxonomy code is 363A00000X Lazaro Gonzales PAC physically located at 1011 Honor Heights Dr, Muskogee OK, 74401-1318. NPI Number Lazaro Gonzales PAC has the Individual type.

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1780783340 NPI number is provided on an as is basis without warranty of any kind. 1780783340 is maintained by the National Plan & Provider Enumeration System. The contents of Lazaro Gonzales PAC are for informational purposes only.