Lazol, Judith Panergo
Lazol, Judith Panergo is an individual health care provider with primary practice located at 1901 Sw H K Dodgen Loop Bldg 300 , Temple TX 76502-1814. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Lazol, Judith Panergo can be contacted via phone (254) 724-5437.Contact Information
Primary practice address
1901 Sw H K Dodgen Loop Bldg 300
Temple TX 76502-1814
Phone: (254) 724-5437
Fax: (254) 724-7597
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N6450 | Texas |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | N6450 | Texas |
Profile Details
NPI number | 1689992521 |
---|---|
LBN Legal business name | Lazol, Judith Panergo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2010 |
Last updated | Oct 1st, 2020 - about 4 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 | 1689992521 | NPPES |
Texas | MEDICAID | 1689992521 |
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