Individual
MS. ANITHA R LAZAREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(814) 404-3027
Mailing address
8313 TALLY HO RD, LUTHERVILLE TIMONIUM, MD 21093-4720
(814) 404-3027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005088
MD
Other
Enumeration date
05/11/2006
Last updated
11/03/2016
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