Individual provider · Type 1 NPI

Roxana Yamileht Lazo Gonzalez, MD

Student in an Organized Health Care Education/Training Program · Marietta, GA

NPI number 1215631007 Active

Practice location

677 Church St NE
Marietta, GA 30060-1101

Call (470) 956-3860 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215631007

Roxana Yamileht Lazo Gonzalez, MD's National Provider Identifier is 1215631007, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marietta, GA. The record was last updated on Mar 28, 2023.