ROSEMARIE V LAZO


Address: 13318 Berry Bowl Rd, Independence, LA 70443-2363

ROSEMARIE V LAZO (NPI# 1992351365) 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) 1992351365
Entity Type Individual
Full Name ROSEMARIE V LAZO
Practice Address 13318 Berry Bowl Rd
Independence
LA 70443-2363
Mailing Telephone 2253062064
Enumeration Date 2019-08-12
Last Update Date 2020-01-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
207597 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 207597 05

Office Location

Street Address 13318 BERRY BOWL RD
City INDEPENDENCE
State LA
Zip Code 70443-2363

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City INDEPENDENCE
Zip Code 70443

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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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