Individual
LAZARO RAFAEL PERAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0483
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-5000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
31819
MN
207Y00000X
Otolaryngology Physician
72021
MN
207Y00000X
Otolaryngology Physician
Primary
D0107467
MD
Other
Enumeration date
04/20/2021
Last updated
08/06/2026
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