Individual
DR. ANTHONY L LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 S GEAR AVE, SUITE 109, WEST BURLINGTON, IA 52655-1682
(319) 754-4004
(319) 753-5498
Mailing address
1223 S GEAR AVE, SUITE 109, WEST BURLINGTON, IA 52655-1682
(319) 754-4004
(319) 753-5498
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23402
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2201491
—
IA
01
—
37984
BLUE CROSS BLUE SHIELD
IA
01
—
P00170916
RAILROAD MEDICARE
—
Enumeration date
05/02/2006
Last updated
12/26/2007
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