# INFOMEDICA

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

## Provider details

- **NPI number:** 1306385125
- **Authorized official:** DR. SORIN LAZAR MD (PHYSICIAN)
- **Authorized official phone:** (617) 448-3572

## Contact information

- **Practice address:** 10010 DONALD S POWERS DR, MUNSTER, IN 46312
- **Practice address phone:** (617) 448-3572
- **Mailing address:** 640 W KEMPER PL, CHICAGO, IL 60614-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017