Lazo, Ivan E
Lazo, Ivan E is an sole proprietor health care provider with primary practice located at 441 Piney Forest Rd Ste A , Danville VA 24540-4154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lazo, Ivan E can be contacted via phone (434) 799-5700.Contact Information
Primary practice address
441 Piney Forest Rd Ste A
Danville VA 24540-4154
Phone: (434) 799-5700
Fax: (434) 799-4693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101051102 | Virginia |
Profile Details
| NPI number | 1649237157 |
|---|---|
| LBN Legal business name | Lazo, Ivan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649237157 | NPPES |
| Virginia | Other | 285572 | BCBS |
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