Individual provider · Type 1 NPI

Vanessa Lazaro, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1376766741 Active

Practice location

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715

Fax (844) 404-8924

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA18249 (CA)
Medical Physician Assistant Primary 363AM0700X18249 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1376766741

Vanessa Lazaro, PA-C's National Provider Identifier is 1376766741, issued on Apr 11, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2022.