Roxana Yamileht Lazo Gonzalez, MD
Student in an Organized Health Care Education/Training Program in Marietta, GA. Individual provider (NPI-1).
NPI number1215631007
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1215631007
- Entity type
- Individual (NPI-1)
- Name
- Roxana Yamileht Lazo Gonzalez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2023
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
677 Church St NeMarietta, GA 30060-1101
Phone 470-956-3860
Mailing address
677 Church St NeMarietta, GA 30060-1101
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All 237 Student in an Organized Health Care Education/Training Program providers in Marietta · All 9,180 providers in Marietta
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