Individual
MR. LAWRENCE H ZAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 E WASHINGTON ST, # 825, CHICAGO, IL 60602-1708
(312) 372-0411
(312) 372-0428
Mailing address
25 E WASHINGTON ST, # 825, CHICAGO, IL 60602-1708
(312) 372-0411
(312) 372-0428
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433159
UNITED CONCORDIA
—
01
—
80006190
BCBS
—
Enumeration date
09/29/2005
Last updated
06/03/2015
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