Individual
DR. JOHN A LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4250 PONTIAC LAKE RD, SUITE A, WATERFORD, MI 48328-1281
(248) 674-3136
(248) 674-3138
Mailing address
4250 PONTIAC LAKE RD, SUITE A, WATERFORD, MI 48328-1281
(248) 674-3136
(248) 674-3138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9548
MI
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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