Individual
ANDREW LAZRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047447
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008203100
—
MD
01
—
04-03155
EVERCARE
—
05
—
380651100
—
MD
01
—
53498303
CAREFIRST BCBS
—
01
—
DPC6AL
CARE FIRST
MD
Enumeration date
02/19/2006
Last updated
10/13/2009
Update your record
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