LUBOMYR LAZOR MUTIS SA-C IMG. NPI 1306467790

NPI Information

  • NPI: 1306467790
  • Provider Name: LUBOMYR LAZOR MUTIS, SA-C, IMG.
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Individual
  • Address: 5963 CHURCHILL SQUARE WAY
    GROVELAND, FL
    ZIP 34736
  • Phone: (407) 927-0778

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NPI Details

Lubomyr Lazor Mutis, SA-C, IMG. is a surgical assistant specialist technologist other in Groveland, FL. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. Lubomyr Lazor Mutis, SA-C, IMG. NPI is 1306467790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5963 CHURCHILL SQUARE WAY
GROVELAND, FL
ZIP 34736-128
Phone: (407) 927-0778

The enumeration date for this NPI number is 4/27/2020 and was last updated on 4/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant19543WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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