Individual
DR. IVANA LAZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 ESSEX CENTER DR, SUITE 306, PEABODY, MA 01960-2904
(978) 531-0677
(978) 531-5676
Mailing address
6 ESSEX CENTER DR, SUITE 306, PEABODY, MA 01960-2904
(978) 531-0677
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
261159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261159
MASSACHUSETS LICENSE NUMBER
MA
Enumeration date
08/19/2008
Last updated
12/17/2014
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