Provider Demographics
NPI:1861691941
Name:LAZO, LOUIS (RRT-NPS, RPFT)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:
Last Name:LAZO
Suffix:
Gender:M
Credentials:RRT-NPS, RPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15641 SW 144TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6811
Mailing Address - Country:US
Mailing Address - Phone:305-251-2377
Mailing Address - Fax:305-995-2699
Practice Address - Street 1:1840 W 49TH ST
Practice Address - Street 2:SUITE #717
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2942
Practice Address - Country:US
Practice Address - Phone:305-251-2377
Practice Address - Fax:305-995-2699
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 9172279C0205X, 2279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care