Individual
RICHARD LAZAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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