Individual
LADISLAS LAZARO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 S COLLEGE RD, SUITE 110, LAFAYETTE, LA 70503-3060
(337) 237-5008
(337) 237-7950
Mailing address
913 S COLLEGE RD, SUITE 110, LAFAYETTE, LA 70503-3060
(337) 237-5008
(337) 237-7950
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
020490
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1984663
—
LA
01
—
5U181DD88
GROUP MEMBER PTAN
LA
Enumeration date
10/13/2005
Last updated
07/16/2008
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