Richard Joshuwa Lazalde, ATC
NPI #1568840346 in Moreno Valley, California
Provider Information
- NPI Number
- 1568840346
- Entity Type
- Individual
- Name
- Richard Joshuwa Lazalde, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 12, 2015
- Last Updated
- May 12, 2015
Practice Location
- Address
- 22723 BAY AVE APT 118
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-8637
- Phone
- (951) 536-5894
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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