Lazaro Roque, COTA

NPI #1134425242 in North Miami, Florida

Provider Information

NPI Number: 1134425242
Entity Type: Individual
Name: Lazaro Roque, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COTA
Enumeration Date: Feb 7, 2011
Last Updated: Feb 7, 2011

Practice Location

Address: 1897 NE 146TH ST
City: North Miami
State: Florida
ZIP Code: 33181-1423
Phone: (305) 949-4191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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