Individual
LAZAR BERKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30500 NORTHWESTERN HWY STE 316B, FARMINGTON HILLS, MI 48334-3159
(248) 258-6842
Mailing address
30500 NORTHWESTERN HWY STE 316B, FARMINGTON HILLS, MI 48334-3159
(248) 258-6842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LB008193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2436327
AETNA
MI
05
—
4237430
—
MI
Enumeration date
07/18/2006
Last updated
07/08/2007
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