Julie M Lazo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36869 Issued in CA

Practice address

14119 Pioneer Blvd
Norwalk, CA 90650-3925

Phone

(562) 929-2383

Fax

(323) 249-7565

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scott Jacks DDS Inc

  dba Children's Dental Group

  • Dentist
  • Norwalk, CA
  • NPI 1790824662
  NPD (past)
• Western Dental Service, Inc

  • Dentist
  • Norwalk, CA
  • NPI 1417473984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215083589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S DILLON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571106",
            "fax_number": "323-249-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 PIONEER BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503925",
            "telephone_number": "562-929-2383",
            "fax_number": "323-249-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D36869",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Elena Lara
• John E. Larcabal, O.D.
• Fred G Lau, MD
• Jacquelyn Lavey
• Karina Lawrence, DO
• Leslie Yesenia Lazo
• Rachel Le
• Steven T Le, PHARMD
• Tuyen N Le, MD
• Dean Leav

• General Practice Dentistry in Norwalk, CA
• Providers in Norwalk, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.