Individual
LANCE J LAZATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6055 W 46TH AVE, SUITE A, WHEAT RIDGE, CO 80033-1811
(303) 423-8017
(720) 639-6894
Mailing address
6055 W 46TH AVE, SUITE A, WHEAT RIDGE, CO 80033-1811
(303) 423-8017
(720) 639-6894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50291
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000154721
—
CO
Enumeration date
07/26/2007
Last updated
06/11/2019
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