Dr. Ricardo Lazaro Pascual
Periodontist
1 Kneeland St Dept
Boston
, Massachusetts 02111-1527
Dr. Ricardo Lazaro Pascual
Periodontist
1 Kneeland St Dept
Boston
, Massachusetts 02111-1527
(617) 372-1143
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Ricardo Lazaro Pascual
- 665 Washington St Unit 1203
- Boston, MA
- Zip : 02111-1644
- Phone : (617) 372-1143
Second Address
- Dr. Ricardo Lazaro Pascual
- 1 Kneeland St Dept
- Boston, MA
- Zip : 02111-1527
- Phone : (617) 372-1143
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 7772 | ZZ |
National Provider Identifier
| NPI | 1043863533 |
|---|---|
| Provider Name | Dr. Ricardo Lazaro Pascual |
| First Address | Boston, MA 02111-1644 |
| Second Address | Boston, MA 02111-1527 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2019 |
| Last Update Date | 23/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.