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Organization

D S LAZAR DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
D S LAZAR DPM (OWNER)
(248) 967-3668
Entity
Organization

Contact information

Practice address
15300 W 9 MILE RD, SUITE 2, OAK PARK, MI 48237-2584
(248) 967-3668
(248) 967-0630
Mailing address
15300 W 9 MILE RD, SUITE 2, OAK PARK, MI 48237-2584
(248) 967-3668
(248) 967-0630

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001114
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1502974
MI
01
P00067283
MEDICARE RAILROAD INSURANCE
MI
Enumeration date
07/29/2009
Last updated
01/28/2013
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