Provider Demographics
NPI:1497286017
Name:LAZARO, TYLER
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:LAZARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 CAMBRIDGE ST, BAYLOR COLLEGE OF MEDICINE
Mailing Address - Street 2:SUITE 9A, DEPARTMENT OF NEUROSURGERY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE ST, BAYLOR COLLEGE OF MEDICINE
Practice Address - Street 2:SUITE 9A, DEPARTMENT OF NEUROSURGERY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:609-994-7105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program