Individual
RICHARD LAZAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11630 STUDT AVE, SAINT LOUIS, MO 63141-7016
(314) 567-7337
(314) 851-4476
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 567-7337
(314) 851-4476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3A04
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100893
HEALTHLINK
MO
01
—
1200169
UHC
MO
01
—
1822V34311
HEALTHCARE USA
MO
01
—
19913
BCBS
MO
01
—
39959
GHP
MO
01
—
400600
AETNA
MO
01
—
A13900
MERCY
MO
Enumeration date
11/09/2005
Last updated
09/24/2012
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