Individual
IRA LOUIS LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 CLINT MOORE RD, STE 212, BOCA RATON, FL 33496
(561) 989-9070
(561) 989-0255
Mailing address
1905 CLINT MOORE RD, STE 212, BOCA RATON, FL 33496
(561) 989-9070
(561) 989-0255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
41886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068748100
—
FL
Enumeration date
07/05/2006
Last updated
06/15/2010
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