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1588789754
RODERICK LAZO
SAN MARCOS, CA
NPI
1588789754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15633)
Enumeration Date
2007-03-20
Last Update Date
2021-12-01
Business Address
RODERICK LAZO P.A.
400 CRAVEN RD
SAN MARCOS, CA 92078-4201
Phone number: 760-736-4125
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Mailing Address
RODERICK LAZO P.A.
400 CRAVEN RD
SAN MARCOS, CA 92078-4201
Phone number: 760-736-4125
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