Individual
DR. MARK GREGORY LAZAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, 1830 BLDG, RM 420, BALTIMORE, MD 21287-0006
(410) 614-6708
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D69337
MD
207RG0100X
Gastroenterology Physician
MT185907
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418086100
—
MD
Enumeration date
02/17/2008
Last updated
02/11/2013
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