Individual
INNA LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13 ARCADIA RD STE 18, OLD GREENWICH, CT 06870-1742
(203) 698-5049
(844) 364-2562
Mailing address
13 ARCADIA ROAD, SUITE 18, OLD GREENWICH, CT 06611
(203) 698-5049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2947
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255713079
—
CT
Enumeration date
06/29/2015
Last updated
07/12/2017
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