Judith Panergo Lazol

MD | Pediatric Cardiology | Female

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Complete Profile:

Judith Panergo Lazol basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Judith Panergo Lazol
Credential :	MD
Gender :	Female

Business Address:

Judith Panergo Lazol address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1901 Sw H K Dodgen Loop Bldg 300 Temple, TX, 76502-1814 United States
Phone Number :	254-724-5437
Fax Number :	254-724-7597

Professional Identification Codes:

NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.

NPI Number :	1689992521
NPI Entity Type :	Individual
First Enrolment Date :	16 May, 2010
Last Updated On :	01 Oct, 2020

Medicare Participation:

Judith Panergo Lazol participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5294922233
Medicare Enrollment ID :	I20101203000140
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1990
Accepts Medicare?	Yes. Judith Panergo Lazol accepts medicare insurance.

Group Practice Association:

Judith Panergo Lazol is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Judith Panergo Lazol is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Scott And White Clinic	8123923604	2112	1901 Sw Hk Dodgen Loop Bldg 300 Baylor Scott And White Mclane Childre Temple, TX - 765021814 Ph: 2547245437	Yes
Scott And White Clinic	8123923604	2112	1901 Sw H K Dodgen Loop Temple, TX - 765021814 Ph: 2547245437	Yes
Scott And White Clinic	8123923604	2112	1605 S 31st St Baylor Scott And White Center For Dia Temple, TX - 765080001 Ph: 2542150100	Yes
Scott And White Clinic	8123923604	2112	2401 S 31st St Bldg 35 Baylor Scott And White Roney Bone And Temple, TX - 765080001 Ph: 2547242663	Yes
Scott And White Clinic	8123923604	2112	2401 S 31st St Temple, TX - 765080001 Ph: 2547242459	Yes
Scott And White Clinic	8123923604	2112	2401 S 31st St Msarm277 Temple, TX - 765080001	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Judith Panergo Lazol are as mentioned. Primary taxonomy code for Judith Panergo Lazol, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	N6450	TX
2080P0202X	Pediatrics Pediatric Cardiology	Yes	N6450	TX

Legacy Identifiers:

Other legacy medical identifiers of Judith Panergo Lazol such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1689992521	MEDICAID	TX

Other Practice Locations:

Practice Address	City, State	Phone Number
2401 S 31ST ST, TEMPLE, TX, 76508-0001 United States	TEMPLE, TX	254-724-8913

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 844658 Dallas, TX, 75284-4658 United States

Business Location:

Patients can refer following map for directions to Judith Panergo Lazol practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.