Individual
PETER LAZARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3721 NE ELLISON DR, LEES SUMMIT, MO 64064-1939
(816) 588-2169
Mailing address
3721 NE ELLISON DR, LEES SUMMIT, MO 64064-1939
(816) 588-2169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022006855
MO
Other
Enumeration date
03/29/2018
Last updated
02/25/2025
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