Provider Demographics
NPI:1871920033
Name:LAZOL, HIL DAVID (RN MS FNP-C)
Entity type:Individual
Prefix:MR
First Name:HIL
Middle Name:DAVID
Last Name:LAZOL
Suffix:
Gender:M
Credentials:RN MS FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 MISTY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5587
Mailing Address - Country:US
Mailing Address - Phone:248-990-2386
Mailing Address - Fax:254-774-7316
Practice Address - Street 1:6625 MISTY CREEK LN
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5587
Practice Address - Country:US
Practice Address - Phone:248-990-2386
Practice Address - Fax:254-774-7316
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX787092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily