Lazo, Jose Gustavo

Lazo, Jose Gustavo is an sole proprietor health care provider with primary practice located at 521 Parnassus Ave Room C-152, B- 0622 , San Francisco CA 94143. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Lazo, Jose Gustavo can be contacted via phone (973) 986-3098.

Contact Information

Primary practice address
521 Parnassus Ave Room C-152, B- 0622 San Francisco CA 94143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 81272 California
Suppliers / Pharmacy 333600000X 28RJ07964 New Jersey

Profile Details

NPI number 1124622030
LBN Legal business name Lazo, Jose Gustavo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Dec 20th, 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.

Request for update

Popular Providers