Sybert Anne Lazaga
Individual provider Active NPI Physical Therapist · Groesbeck, TX
NPI 1073004693 · NPPES record last updated May 21, 2018
Key facts
- NPI
- 1073004693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1278587 (TX)
- Practice address
- 607 Parkside Dr
Groesbeck, TX 76642-1124 - Phone
- (254) 729-3245
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1278587 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1278587 | TX | Yes |
Addresses
Primary practice location
607 Parkside Dr
Groesbeck, TX 76642-1124
Mailing address
12272 W Sample Rd
Coral Springs, FL 33065-4227
Phone (954) 913-0839
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L220-780-89-861-0 | Other | FL | DRIVER'S LICENSE |
Other providers in Groesbeck, TX
- Karen Johnson
- Brandy Jane Kennedy
- Dennis Ray Kessler
- Hannah Kinkead
- Larry Hughes, D.O., P.a.
- Gordon Kenneth Lee
- Jessica Jo Joyce Lemoine
- Limestone Healthcare LTD
- Kenneth G. Lomenzo
- Mark Malone MD PA
All providers in Groesbeck, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.