National Provider Identifier Database

IGMEDIO S LAZA JR, RN – NPI #1326760562
Hemodialysis


Contact Information

IGMEDIO S LAZA JR, RN
4646 JOHN R ST
DETROIT, MI48201-1916
Phone: 313-576-1000
Fax:
Website:
Specialty Taxonomy Code
* Hemodialysis 163WH0500X

* Indicates primary specialty

NPI Profile & details for IGMEDIO S LAZA JR

NPI Number 1326760562
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/14/2022
Last updated 09/14/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 4704228284
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for IGMEDIO S LAZA JR, RN

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