Individual provider · Type 1 NPI

Lorenzo Vasquez, LSA

Surgical Physician Assistant · Fort Worth, TX

NPI number 1477608446 Active

Practice location

7451 Chapel Ave
Fort Worth, TX 76116-7090

Call (817) 294-7444 Map

Fax (817) 294-7172

Mailing address

PO Box 860031
Plano, TX 75086-0031

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XSA00417 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1477608446

Lorenzo Vasquez, LSA's National Provider Identifier is 1477608446, issued on Jan 23, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 10, 2014.