Provider Demographics
NPI:1750021879
Name:PAUL ALEJANDRO LAZCANO
Entity Type:Organization
Organization Name:PAUL ALEJANDRO LAZCANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERPRETER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:LAZCANO
Authorized Official - Suffix:
Authorized Official - Credentials:CMI
Authorized Official - Phone:323-358-8825
Mailing Address - Street 1:786 E 43RD PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:786 E 43RD PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-3504
Practice Address - Country:US
Practice Address - Phone:323-358-8825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty