Individual
MICHAEL LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 WEST GRAND BLVD, SUITE K17, DETROIT, MI 48202-2608
(313) 916-2421
(313) 916-9102
Mailing address
2799 WEST GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2421
(313) 916-9102
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301072437
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290F312340
BCBSM
MI
05
—
4638967
—
MI
Enumeration date
03/25/2006
Last updated
10/10/2013
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