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

Lissette Perez Lazo, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003208083

Lissette Perez Lazo, DO is a Family Practice in North Miami Beach, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2015, 11 years ago. Practices with Nova Southeastern University Inc, a 94-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1750 NE 167th St
North Miami Beach, FL 33162
Phone: (954) 262-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 W 68th St Ste 202, Hialeah, FL 33016-1801 — (305) 364-2107
  • 2001 W 68th St Ste 202, Hialeah, FL 33016-1801 — (305) 364-2107

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS15013 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003208083
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 26, 2015
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address15702 Sw 44th Ter, Miami, FL 33185-4593

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2015 (11 years in practice)
Group practice Nova Southeastern University Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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