Individual
ERNEST ANASTASIOS LAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2301 EVESHAM RD, SUITE 507, VOORHEES, NJ 08043
(856) 772-2979
(856) 770-1192
Mailing address
2301 EVESHAM RD, SUITE 507, VOORHEES, NJ 08043
(856) 772-2979
(856) 770-1192
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01805
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4787901
—
NJ
Enumeration date
01/19/2007
Last updated
07/08/2007
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