BRYAN LAZETTE

JACKSONVILLE, FL
NPI1639839988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  11017174)
Enumeration Date2021-12-28
Last Update Date2022-01-18
Business Address
Dr. BRYAN LAZETTE CRNA
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4222
Phone number: 727-504-6618
Mailing Address
Dr. BRYAN LAZETTE CRNA
4840 SEASCAPE WAY APT 210
JACKSONVILLE, FL 32224-0627
Phone number: 727-504-6618
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