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Individual

DR. EMILY ELIZABETH LAZAROU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD,RD,LD

Contact information

Practice address
410 PIERCE ST, SUITE 103, HOUSTON, TX 77002-8646
(813) 494-5922
Mailing address
PO BOX 1107, ODESSA, FL 33556-1044
(813) 494-5922

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20990
MS
2084P0800X
Psychiatry Physician
Primary
ME90118
FL
2084P0800X
Psychiatry Physician
N0202
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281299100
FL
01
31826
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/27/2006
Last updated
04/29/2013
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