Provider Demographics
NPI:1265475982
Name:LAPUZ, LAURO GARCIA (MD)
Entity Type:Individual
Prefix:
First Name:LAURO
Middle Name:GARCIA
Last Name:LAPUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LAURO
Other - Middle Name:
Other - Last Name:LAPUZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:17420 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MONTVERDE
Mailing Address - State:FL
Mailing Address - Zip Code:34756-3214
Mailing Address - Country:US
Mailing Address - Phone:528-571-5233
Mailing Address - Fax:
Practice Address - Street 1:10250 SE 167TH PLACE ROAD
Practice Address - Street 2:SUITE 5
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491
Practice Address - Country:US
Practice Address - Phone:352-307-9925
Practice Address - Fax:352-307-8442
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8668YMedicare UPIN