Lazaro, Autumn

Lazaro, Autumn is an individual health care provider with primary practice located at 2032 S 17Th St Ste 101 , Wilmington NC 28401-6678. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lazaro, Autumn can be contacted via phone (910) 763-3738.

Contact Information

Primary practice address
2032 S 17Th St Ste 101 Wilmington NC 28401-6678
Phone: (910) 763-3738
Fax: (910) 763-0454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 7182 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4474 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12035 North Carolina

Profile Details

NPI number 1588223754
LBN Legal business name Lazaro, Autumn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Apr 1st, 2022 - about 2 years ago

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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