FREDERICK J LAZAGA

DETROIT, MI
NPI1194734012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704152373)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- FREDERICK J LAZAGA CRNA
7733 E JEFFERSON AVE
DETROIT, MI 48214-3707
Phone number: 313-499-4254
Mailing Address
-- FREDERICK J LAZAGA CRNA
7733 E JEFFERSON AVE
DETROIT, MI 48214-3707
Phone number: 313-499-4254
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