Rodolfo S Lazo, MD | |
620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | |
(478) 445-4128 | |
Not Available |
Full Name | Rodolfo S Lazo |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 620 Broad St, Milledgeville, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720090574 | NPI | - | NPPES |
00593403A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 016811 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Rodolfo S Lazo, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 | Rodolfo S Lazo, MD 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 Ph: (478) 445-4128 |
Hector Piza, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 | |
Miguel A Fernandez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 620 Broad St, Central State Hospital, Milledgeville, GA 31062 Phone: 478-445-4128 |