Lakeside Youth N Kids Pediatrics
NPI #1275903833 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1275903833
- Entity Type
- Organization
- Organization Name
- Lakeside Youth N Kids Pediatrics
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 25, 2015
Practice Location
- Address
- 6055 W 46TH AVE
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-1811
- Phone
- (916) 300-7534
Authorized Official
- Name
- DR. LANCE JESSE LAZATIN, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (916) 300-7534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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