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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW LAZARO FONTICIELLA, PA STUDENT

Active

Student (Health Education/Training) · SAN LORENZO, CA

Registration Details

NPI Number
1023814001
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2025 (1.2087320732983 yrs)
Last Updated
Feb 20, 2025
License
STUDENT (CA)

Practice Information

Address
16037 VIA DEL SOL
SAN LORENZO, CA, 945802407
Browse CA providers · Browse ZIP 94580
Phone
8189357076
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in SAN LORENZO, CA

Name Credential NPI
AKANKSHA KALIA 1043619893
NGOC BUI 1588026504
ZORAN SAVIC 1174070270
IRENE VILLACORTA GARCIA 1902603723
KY MY TRIEU 1174498877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.