Individual
GERALD K LAZAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
32 CRAFTSLAND RD, CHESTNUT HILL, MA 02467-2632
(617) 731-1930
Mailing address
32 CRAFTSLAND RD, CHESTNUT HILL, MA 02467-2632
(617) 731-1930
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M08126
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/01/2005
Last updated
07/08/2007
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