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LUBOMYR LAZOR MUTIS SA-C, IMG.
NPI 1306467790
Specialist/Technologist, Other - Surgical Assistant in Groveland, FL

Active since April 27, 2020
5963 CHURCHILL SQUARE WAY, GROVELAND, FL 34736(407) 927-0778 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lubomyr Lazor Mutis Sa-c, Img. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUBOMYR LAZOR MUTIS SA-C, IMG. (NPI 1306467790) is an individual surgical assistant in Groveland, Florida, licensed in Wisconsin (19543) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1306467790
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameLUBOMYR LAZOR MUTISCredential: SA-C, IMG.
Location Address5963 CHURCHILL SQUARE WAYGroveland, FL 34736-3128
Mailing Address5963 Churchill Square WayGroveland, FL 34736-3128 · (407) 927-0778
Phone(407) 927-0778
Sole ProprietorYes
Enumeration DateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1306467790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in WI · 19543
Definition
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.
5963 CHURCHILL SQUARE WAY, Groveland, FL 34736
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA MORA MUJICA SA-C, IMG
Specialist/Technologist, Other (Surgical Assistant)
5963 CHURCHILL SQUARE WAY
GROVELAND, FL 34736
Lake County (407) 773-4009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lubomyr Lazor Mutis's NPI number?

The NPI number for Lubomyr Lazor Mutis is 1306467790. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Lubomyr Lazor Mutis located?

Lubomyr Lazor Mutis practices at 5963 Churchill Square Way, Groveland, FL 34736. The listed phone number is (407) 927-0778.

What is Lubomyr Lazor Mutis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Lubomyr Lazor Mutis was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.