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Licensee Information

Autumn Rae Lazaro - PA-C
0010-12035
Active
No
02/20/2022
11/01/2026

Active Supervisor

NameTypeStatusApprovedInactive
Carmack, John Timothy, MD MD Active 10/21/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Connecticut
Massachusetts

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:23:06 PM
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