Individual provider · Type 1 NPI
Andrew Jesus Lazo
Psychiatric/Mental Health Nurse Practitioner · Orlando, FL
NPI number
1104719137
Active
Practice location
1400 N Semoran Blvd Bldg Suitee
Orlando, FL 32807-3536
Fax (407) 823-8195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 11039812 (FL) |
| Family Nurse Practitioner | 363LF0000X | APRN11039812 (FL) |
| Family Nurse Practitioner | 363LF0000X | 11039812 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11039812 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104719137
Andrew Jesus Lazo's National Provider Identifier is 1104719137, issued on May 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orlando, FL. The record was last updated on Aug 6, 2025.