Provider Demographics
NPI:1902378144
Name:LAZO PAEZ, DAYAMI
Entity Type:Individual
Prefix:
First Name:DAYAMI
Middle Name:
Last Name:LAZO PAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E 4TH ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-7008
Mailing Address - Country:US
Mailing Address - Phone:786-731-0686
Mailing Address - Fax:
Practice Address - Street 1:119 E 4TH ST UNIT 5
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-7008
Practice Address - Country:US
Practice Address - Phone:786-731-0686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst