Individual
DR. MONA MONTAGNE LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-116889
IL
207R00000X
Internal Medicine Physician
61602
WI
208M00000X
Hospitalist Physician
036116889
IL
208M00000X
Hospitalist Physician
61602
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033772
—
WI
Enumeration date
02/04/2007
Last updated
11/20/2024
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