# SHELLEE LAZAR MD APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255171864
- **Authorized official:** SHELLEE LAZAR MD (AUTHORIZED REP)
- **Authorized official phone:** (909) 709-6826

## Contact information

- **Practice address:** 350 TERRACINA BLVD, REDLANDS, CA 92373-4850
- **Practice address phone:** (909) 335-5616
- **Practice address fax:** (909) 307-7518
- **Mailing address:** PO BOX 9595, REDLANDS, CA 92375-2795
- **Mailing address phone:** (909) 335-5616
- **Mailing address fax:** (909) 307-7518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2024
- **Last updated:** 05/30/2024