Mesa, Lazaro

Mesa, Lazaro is an individual health care provider with primary practice located at 8501 Harcourt Rd , Indianapolis IN 46260-2046. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mesa, Lazaro can be contacted via phone (317) 875-9105.

Contact Information

Primary practice address
8501 Harcourt Rd Indianapolis IN 46260-2046
Phone: (317) 875-9105
Fax: (317) 808-8802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 01092195A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01092195A Indiana

Profile Details

NPI number 1912468877
LBN Legal business name Mesa, Lazaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Jun 28th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912468877 NPPES
Indiana Other 01092195A STATE LICENSE
Indiana MEDICAID 300085274 STATE LICENSE

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