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Mrs. Debra Jean Lazarte

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Debra Jean Lazarte
Gender: F
Provider License Number If Given: 23045

NPI Information:

NPI: 1316931827
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 8/16/2019

Provider Business Mailing Address:

Address: 5440 OLD BROWNSVILLE RD
Corpus Christi, TX 78417
Phone Number: 3617792890
Fax Number: 3618540414

Provider Business Practice Location Address:

Address: 5440 OLD BROWNSVILLE RD
Corpus Christi, TX 78417
Phone Number: 3617792890
Fax Number: 3618540414

Provider Taxonomy:

Primary: 1041C0700X
Secondary (if any):
State: TX

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