Provider Demographics
NPI:1538037205
Name:LAZO PERLA, RUBIDIA DEL CARMEN
Entity type:Individual
Prefix:
First Name:RUBIDIA
Middle Name:DEL CARMEN
Last Name:LAZO PERLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1462 NEWTON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3102
Mailing Address - Country:US
Mailing Address - Phone:202-380-8969
Mailing Address - Fax:
Practice Address - Street 1:4203 16TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7005
Practice Address - Country:US
Practice Address - Phone:202-380-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant