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1649237157
IVAN E LAZO
DANVILLE, VA
NPI
1649237157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101051102)
Enumeration Date
2006-04-27
Last Update Date
2021-05-11
Business Address
Dr. IVAN E LAZO M.D.
441 PINEY FOREST RD STE A
DANVILLE, VA 24540-4154
Phone number: 434-799-5700
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Mailing Address
Dr. IVAN E LAZO M.D.
441 PINEY FOREST RD STE A
DANVILLE, VA 24540-4154
Phone number: 434-799-5700
Copy
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