Individual
DR. RAUL A LAZARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 289-1400
(703) 289-1414
Mailing address
2730-B PROSPERITY AVENUE, FAIRFAX, VA 22031-2238
(703) 289-1400
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101032961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198-8922
ECFMG
—
05
—
6717799
—
VA
05
—
6717802
—
VA
05
—
6747167
—
VA
Enumeration date
05/26/2006
Last updated
07/08/2007
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