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Organization
D S LAZAR DPM PC
Active
Organization
D S LAZAR DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D S LAZAR DPM (OWNER)
(248) 967-3668
Entity
Organization
Contact information
Practice address
15300 W 9 MILE RD, SUITE 2, OAK PARK, MI 48237-2584
(248) 967-3668
(248) 967-0630
Mailing address
15300 W 9 MILE RD, SUITE 2, OAK PARK, MI 48237-2584
(248) 967-3668
(248) 967-0630
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502974
—
MI
01
—
P00067283
MEDICARE RAILROAD INSURANCE
MI
Enumeration date
07/29/2009
Last updated
01/28/2013
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