Organization
LEA LAZAR, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA LAZAR M.D. (OWNER)
(410) 531-1440
Entity
Organization
Contact information
Practice address
6355 TEN OAKS RD, SUITE 202, CLARKSVILLE, MD 21029-1185
(410) 531-1440
(410) 531-1412
Mailing address
6355 TEN OAKS RD, SUITE 202, CLARKSVILLE, MD 21029-1185
(410) 531-1440
(410) 531-1412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D38833
MD
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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