Individual
ANDREW LAZRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6334 CEDAR LN STE 103, COLUMBIA, MD 21044-3898
(410) 531-2355
(410) 531-7041
Mailing address
6334 CEDAR LN STE 103, COLUMBIA, MD 21044-3898
(410) 531-2355
(410) 531-7041
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
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