Provider Demographics
NPI:1750360871
Name:LAZO, ESTHER LOU (PA-C)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:LOU
Last Name:LAZO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:92-1471 ALIINUI DR
Mailing Address - Street 2:#C
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2246
Mailing Address - Country:US
Mailing Address - Phone:808-677-3016
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:TRIPLER ARMY MEDICAL CENTER (SB TL-TMC)
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859-5000
Practice Address - Country:US
Practice Address - Phone:808-433-8219
Practice Address - Fax:808-433-8217
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant