| Organization Name: | LAZARO JAVIER MD PC |
| NPI Number: | 1013235431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAZARO ESGUERRA JAVIER (DOCTOR) |
| Mailing Address: | 141 Deleware St Sandusky |
| State: | MI US |
| Postal Code: | 484713327 |
| Phone Number: | 8106483444 |
| Fax Number: | 8106483102 |
| NPI Enumeration Date: | 05/10/2010 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | LJ048712 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |