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

Dr. Angel Lazo III, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518329754

Dr. Angel Lazo III, MD is an Internal Medicine in Orange Park, Florida. Qualified in 2016, 10 years ago. Practices with Chagrin Valley Medical Associates LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-2018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.136127 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518329754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2016
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Chagrin Valley Medical Associates Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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