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Search › Wisconsin › 101YP2500X

Jessie Lazo

NPI 1518713650 · on the registry since 2024 · sole proprietor

Practice

Address
300 Femrite Dr
Monona, WI 53716
Phone
(608) 222-7311
Organisation at this address
Tellurian, Inc.
Tellurian, Inc.
Tellurian, Inc.
Tellurian, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin