LISSETTE PEREZ LAZO (DO) – Family Medicine Physician, NPI 1003208083
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for LISSETTE PEREZ LAZO (DO)
2001 W 68th St Ste 202
Hialeah, FL 330161801
Phone: (305) 364-2107
Fax: (305) 822-8347
Type: Location
15702 SW 44TH TER
MIAMI, FL 331854593
Phone:
Type: Mailing
1750 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Phone: (954) 262-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $319.
Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($110).
Total Amount
$319
General + Research + Ownership
Payments
7
Total payment records
General Amount
$319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $110 |
| ViiV Healthcare Company | $104 |
| GlaxoSmithKline, LLC. | $61 |
| Dexcom, Inc. | $26 |
| Novo Nordisk Inc | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180214002737 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| Registered Dietitian Or Nutrition Professional | NJ | |
| - | FL | |
| O T O L A R Y N G O L O G Y | CA | |
| - | FL | |
| O P T O M E T R Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| O P T O M E T R Y | FL |
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