Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Jesus Lazo

Individual provider Nurse Practitioner · NPI 1104719137

Andrew Jesus Lazo is a Nurse Practitioner in Orlando, Florida. Graduated from University of Alabama School of Medicine in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
1
Trained at
University of Alabama School of Medicine
Licensed in
FL
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

1400 N Semoran Blvd Bldg Suitee
Orlando, FL 32807-3536
Phone: (407) 823-8421
Fax: (407) 823-8195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11039812 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11039812 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11039812 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11039812 (FL)

Record details

NPI number1104719137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 29, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address1400 N Semoran Blvd Bldg Suitee, Orlando, FL 32807-3536

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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