Individual
DR. GERALD MARTIN LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 E 2700 S, SUITE 180, SALT LAKE CITY, UT 84109-1700
(801) 746-2297
(801) 322-3890
Mailing address
4187 NEPTUNE DR, SALT LAKE CITY, UT 84124-3343
(801) 272-1777
(801) 322-3890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
174906-1205
UT
Other
Enumeration date
03/07/2006
Last updated
07/17/2007
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