Individual
DR. ANDREA MARIE LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2712 MIDDLEBURG DR, SUITE 101 MIDLANDS PEDIATRICS, COLUMBIA, SC 29204
(803) 254-4257
(803) 252-7334
Mailing address
2712 MIDDLEBURG DR, SUITE 101, COLUMBIA, SC 29204
(803) 254-4257
(803) 252-7334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16820
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168204
—
SC
Enumeration date
08/29/2005
Last updated
10/18/2011
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