JUDITH PANERGO LAZOL


Address: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814
Phone: 2547245437

JUDITH PANERGO LAZOL (NPI# 1689992521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689992521
Entity Type Individual
Full Name JUDITH PANERGO LAZOL
Credential MD
Practice Address 1901 Sw H K Dodgen Loop Bldg 300
Temple
TX 76502-1814
Mailing Address Po Box 844658
Dallas
TX 75284-4658
Practice Telephone 2547245437
Practice Fax Number 2547247597
Enumeration Date 2010-05-16
Last Update Date 2020-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics N6450 TX Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
N6450 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 1689992521 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2401 S 31st St, Temple, TX 765080001 2547248913

Office Location

Street Address 1901 SW H K DODGEN LOOP BLDG 300
City TEMPLE
State TX
Zip Code 76502-1814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952361669 Jerry Hall Pediatrics 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2006-03-25
1477091585 Jessica F Jester Nurse Practitioner 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2017-02-09
1770035941 Toni Sorensen Nurse Practitioner 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2016-11-03
1790138378 Brittany Eichhorn Nurse Practitioner 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 2016-07-19
1427408624 Leah Gail Mathias Nurse Practitioner 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2016-06-18
1407269277 Sherline David Pediatrics 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2014-06-09
1023435278 Aishwarya Raju Psychiatry & Neurology 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2014-03-26
1487096947 Larissa Lashelle Williams Physician Assistant 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2013-07-25
1396004115 Vanessa Marie Munoz Rivera Pediatrics 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2012-05-14
1558646349 Nicholas William Mcgregor Pediatrics 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2011-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710850 Bih Mobanoe Chi Pharmacist 6801 West Adams Avenue, Temple, TX 76502 2020-11-06
1639705403 Robert David Pompella Chiropractor 4805 Stone Ridge Dr, Temple, TX 76502 2020-03-12
1275167488 Luong Dental, LLC Dentist 5297 S. 31st Street, Ste 111, Temple, TX 76502 2020-02-26
1093357931 Ryan T Stephens Dmd Pllc Dentist 5408 W. Adams Suite 102, Temple, TX 76502 2019-10-11
1164071817 Danyelle Denise Pividori Licensed Vocational Nurse 992 Marlandwood Rd, Temple, TX 76502 2019-09-05
1831670652 Jane Lida Jarosz Registered Nurse 99 Marlandwood, Temple, TX 76502 2018-08-29
1043791809 Elsa Gamban Baker Licensed Practical Nurse 5711 Hopkins Dr, Temple, TX 76502 2018-08-28
1659859288 Laura Bright Licensed Vocational Nurse 990 Marlanwood, Temple, TX 76502 2018-08-06
1811489974 Rockdale Blackhawk, LLC Clinic/Center 1909 Sw Hk Dodgen Loop, Temple, TX 76502 2018-06-05
1871094573 Moc Temple, LLC Skilled Nursing Facility 725 Marlandwood Rd., Temple, TX 76502 2018-02-27
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508118274 Ashish Virendra Banker Pediatrics 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 2012-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114544640 Adebo Clinic, Pllc Pediatrics 16651 Southwest Fwy Ste 150, Sugar Land, TX 77479-2346 2020-06-30
1487285656 Total Care Pllc Pediatrics 7888 Gateway Blvd E Fl 2nd, El Paso, TX 79915-1815 2020-01-28
1891127726 Stephanie Ghaleb Pediatrics 3333 S.alameda St, 13k, Corpus Christi, TX 78411 2013-08-02
1417202177 Unnati Doshi Pediatrics 17510 W Grand Pkwy S Ste 550, Sugar Land, TX 77479-2649 2012-07-18
1780948737 Tam Dan Nguyen Pham Pediatrics 6651 Main St Fl 19, Houston, TX 77030-2351 2012-06-25
1710245642 Jerry Thyparampil Michael Pediatrics 3533 S Alameda St Ste H-100, Corpus Christi, TX 78411-1721 2012-04-29
1578883187 Fetal Care Consultants, LLC. Pediatrics 7777 Forest Ln Ste 742, Dallas, TX 75230-2571 2010-06-04
1134446073 Kristal L Woldu Pediatrics 1500 Cooper St Fl 3, Fort Worth, TX 76104-2710 2010-05-03
1063738961 Roberto L. Villarreal Mdpa Pediatrics 6553 Metro Court, Suite A, Laredo, TX 78041 2010-04-16
1982840815 Valley Pediatric Cardiology, P.l.l.c Pediatrics 702 E. Expressway 83 Suite A3, Donna, TX 78537 2008-12-24
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Competitor

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City TEMPLE
Zip Code 76502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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