Fausto J Lazo, MD | |
55741 National Rd, Bridgeport, OH 43912 | |
(740) 635-4572 | |
(740) 635-4575 |
Full Name | Fausto J Lazo |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 55741 National Rd, Bridgeport, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578646808 | NPI | - | NPPES |
0456886 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44336 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Fausto J Lazo, MD 55741 National Rd, Bridgeport, OH 43912 Ph: (740) 635-4572 | Fausto J Lazo, MD 55741 National Rd, Bridgeport, OH 43912 Ph: (740) 635-4572 |
Keith A Poole, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55741 National Road, Bridgeport, OH 43912 Phone: 740-635-4572 Fax: 740-635-4575 | |
Sharon M Lazo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55741 National Rd, Bridgeport, OH 43912 Phone: 740-635-4572 Fax: 740-635-4575 |