Most Relevant Information
Provider Data
| NPI Number: | 1003208083 |
| Provider Name: | LISSETTE PEREZ LAZO DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2015 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
1750 NE 167TH ST
NORTH MIAMI BEACH
FL
33162
Practice Location Phone/Fax
| Phone: | 9542624100 |
| Fax: |
Provider Mailing Location
15702 SW 44TH TER
MIAMI
FL
331854593
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |