Esponda, Omar Lazaro

Esponda, Omar Lazaro is an sole proprietor health care provider with primary practice located at 10660 Park Rd Ste 3400 , Charlotte NC 28210-8461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Esponda, Omar Lazaro can be contacted via phone (704) 667-3840.

Contact Information

Primary practice address
10660 Park Rd Ste 3400 Charlotte NC 28210-8461
Phone: (704) 667-3840
Fax: (704) 468-0081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 01484 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01484 North Carolina

Profile Details

NPI number 1295938611
LBN Legal business name Esponda, Omar Lazaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jun 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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