Individual
MR. ALEXANDER LAZEBNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
376 OCEAN AVE APT 603, REVERE, MA 02151-2645
(781) 956-9779
(781) 284-9343
Mailing address
376 OCEAN AVE APT 603, REVERE, MA 02151-2645
(781) 956-9779
(781) 284-9343
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S82758094
MA
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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