Individual
PAUL LAZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
8 W CHESTNUT ST, APT 26D, CHICAGO, IL 60610-3338
(408) 781-2933
Mailing address
8 W CHESTNUT ST, APT 26D, CHICAGO, IL 60610-3338
(408) 781-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030331
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002745
IL
Other
Enumeration date
04/18/2016
Last updated
07/28/2016
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