Autumn Lazaro, PA-C
Physician Assistant in Wilmington, North Carolina
1588223754- Practice location
- 2032 S 17TH St Ste 101, Wilmington, NC 28401-6678
- Phone
- 910-763-3738
- Fax
- 910-763-0454
- Last updated
- April 1, 2022
Autumn Lazaro is a Physician Assistant based in Wilmington, NC. Autumn Lazaro practices in Wilmington, NC and has the professional credentials of PA-C. The NPI Number for Autumn Lazaro is 1588223754 and holds a License No. 7182 (MA). The current practice location address for Autumn Lazaro is 2032 S 17TH St Ste 101, Wilmington, NC 28401-6678 and can be reached out via phone at 910-763-3738 and via fax at 910-763-0454.
Provider Profile Details
- NPI Number
- 1588223754
- Provider Name
- Autumn Lazaro
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2032 S 17TH St Ste 101, Wilmington, NC 28401-6678
- Phone Number
- 910-763-3738
- Fax Number
- 910-763-0454
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Autumn Smith (Former Name)
- Provider Enumeration Date
- June 11, 2019
- Last Update Date
- April 1, 2022
- Certification Date
- April 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2032 S 17TH St Ste 101
Wilmington, NC 28401-6678 - City
- Wilmington
- State
- North Carolina
- Zip
- 28401-6678
- Phone Number
- 910-763-3738
- Fax Number
- 910-763-0454
Provider Business Mailing Address Details
- Address
- 2032 S 17TH St Ste 101
Wilmington, NC 28401-6678 - City
- Wilmington
- State
- NC
- Zip
- 28401-6678
- Phone Number
- 910-763-3738
- Fax Number
- 910-763-0454
License Information
- License Number (1)
- 7182
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine, Adult Medicine · 207QA0505X
- License Number (2)
- 4474
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 0010-12035
- License State (3)
- NC
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Autumn Lazaro, PA-C?
The NPI number of Autumn Lazaro, PA-C is 1588223754. It was assigned on June 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Autumn Lazaro, PA-C?
Autumn Lazaro, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 7182.
Where does Autumn Lazaro, PA-C practice?
The practice location is 2032 S 17TH St Ste 101, Wilmington, NC 28401-6678. The office can be reached at 910-763-3738 (phone) or 910-763-0454 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588223754 directly on the NPPES registry website.