Individual
DR. DIANNA DEBORAH LAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 SCHUYLKILL MEDICAL PLZ, SUITE 202, POTTSVILLE, PA 17901-3663
(570) 621-5987
(570) 621-5980
Mailing address
100 SCHUYLKILL MEDICAL PLZ, SUITE 202, POTTSVILLE, PA 17901-3663
(570) 621-5987
(570) 621-5980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PAOS006990L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001485962
—
PA
Enumeration date
02/07/2006
Last updated
08/13/2012
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